Individual provider · Type 1 NPI

Kimberly M. Randolph, APN

Nurse Practitioner · Germantown, TN

NPI number 1144544982 Active

Practice location

3180 Professional Plz, Ste 111
Germantown, TN 38138-1534

Fax (901) 861-7736

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X7234 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144544982

Kimberly M. Randolph, APN's National Provider Identifier is 1144544982, issued on Mar 23, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Germantown, TN. The record was last updated on Apr 1, 2021.