MRS. KIMBERLY DAWN LILLEY FNP-C NPI 1700064904

NPI Information

MRS. Kimberly Dawn Lilley, FNP-C is a family nurse practitioner in Johnson City, TN with 7 years of experience. MRS. Kimberly Dawn Lilley, FNP-C NPI is 1700064904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

215 E WATAUGA AVE STE 100
JOHNSON CITY, TN
ZIP 37601-629
Phone: (423) 388-3643
Fax: (423) 388-3561

The NPI 1700064904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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