Individual provider · Type 1 NPI

Kiwana N. Derrick, RN, AGNP-C

Nurse Practitioner · Shelbyville, TN

NPI number 1871105320 Active

Practice location

835 Union St
Shelbyville, TN 37160-2607

Mailing address

PO Box 2182
Lewisburg, TN 37091-1182

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN0000028011 (TN)
Gerontology Registered Nurse 163WG0600X196202 (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 1871105320

Kiwana N. Derrick, RN, AGNP-C's National Provider Identifier is 1871105320, issued on Aug 17, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shelbyville, TN. The record was last updated on May 4, 2026.