Individual provider · Type 1 NPI

Matthew King, NP-C

Family Nurse Practitioner · Selmer, TN

NPI number 1104228527 Active

Practice location

641 E Poplar Ave
Selmer, TN 38375-1828

Mailing address

10710 Old Highway 64
Bolivar, TN 38008-3587

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X19129 (TN)
Family Nurse Practitioner Primary 363LF0000X19129 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1104228527

Matthew King, NP-C's National Provider Identifier is 1104228527, issued on Sep 17, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Selmer, TN. The record was last updated on Aug 5, 2024.