Provider Demographics
NPI:1528209269
Name:MCMURTREY, KIMBERLY LORRAINE (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:LORRAINE
Last Name:MCMURTREY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 W SPRINGBROOK DR
Mailing Address - Street 2:SUITE 154
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-1758
Mailing Address - Country:US
Mailing Address - Phone:423-975-6656
Mailing Address - Fax:423-975-6657
Practice Address - Street 1:154 W SPRINGBROOK DR
Practice Address - Street 2:SUITE 154
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-1758
Practice Address - Country:US
Practice Address - Phone:423-975-6656
Practice Address - Fax:423-975-6657
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18009363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily