Individual provider · Type 1 NPI

Kasandra Kay Wilmore, CCRN

Registered Nurse · Cookeville, TN

NPI number 1740131432 Active

Practice location

1 Medical Blvd
Cookeville, TN 38505-0001

Mailing address

108 Standing Rock Rd
Deer Lodge, TN 37726-3818

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X269330 (TN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1740131432

Kasandra Kay Wilmore, CCRN's National Provider Identifier is 1740131432, issued on Feb 7, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Cookeville, TN. The record was last updated on Feb 7, 2026.