Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIWANA N DERRICK, RN, AGNP-C
Active Sole ProprietorMRS. KIWANA N DERRICK, RN, AGNP-C is a Nurse Practitioner healthcare provider located in LEWISBURG, Tennessee. NPI 1871105320 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · LEWISBURG, TN
Registration Details
- NPI Number
- 1871105320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2020 (6.0179070296417 yrs)
- Last Updated
- Jan 12, 2022
- Licenses
-
196202 (TN)APN0000028011 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
529 W COMMERCE STLEWISBURG, TN, 370913219Browse TN providers · Browse ZIP 37091
- Phone
- 9312709729
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in LEWISBURG, TN
| Name | Credential | NPI |
|---|---|---|
| EDWARD D WHITE JR. | NP | 1760448500 |
| MRS. AZILEE C THOMPSON | NP | 1508873597 |
| STEVEN RAY MEAD | NP | 1427473792 |
| JESSICA E BOSHERS | — | 1902200587 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.