Individual provider · Type 1 NPI

Kimberly Dawn Wagner, FNP-BC

Family Nurse Practitioner · Crossville, TN

NPI number 1861266017 Active

Practice location

100 Lantana Rd Ste 202
Crossville, TN 38555-1903

Mailing address

521 Ben Lomand Dr Ste B
Sparta, TN 38583-1592

Other practice locations

  • 521 Ben Lomand Dr Ste B, Sparta, TN 38583-1592 · (931) 265-4292

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X34905 (TN)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1861266017

Kimberly Dawn Wagner, FNP-BC's National Provider Identifier is 1861266017, issued on Nov 8, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crossville, TN. The record was last updated on Aug 12, 2026.