Individual provider · Type 1 NPI

Kyle Pendleton Rose, NP

Nurse Practitioner · Dyersburg, TN

NPI number 1679358659 Active

Practice location

420 Wilkinson Dr
Dyersburg, TN 38024-2085

Mailing address

1532 Craig Rd
Dyersburg, TN 38024-6750

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN0000034479 (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 1679358659

Kyle Pendleton Rose, NP's National Provider Identifier is 1679358659, issued on Aug 29, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dyersburg, TN. The record was last updated on Aug 29, 2023.