KIMALA MOSEBY-FOWLER


Address: 7691 Poplar Ave, Germantown, TN 38138
Phone: 9015161290

KIMALA MOSEBY-FOWLER (NPI# 1194205823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194205823
Entity Type Individual
Full Name KIMALA MOSEBY-FOWLER
Credential AG-ACNP
Practice Address 7691 Poplar Ave
Germantown
TN 38138
Mailing Address Po Box 1000, Dept 351
Memphis
TN 38148-0001
Practice Telephone 9015161290
Practice Fax Number 9015161220
Mailing Telephone 9017589900
Mailing Fax Number 9017522335
Enumeration Date 2018-08-21
Last Update Date 2019-08-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
24640 TN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1265 Union Ave, Memphis, TN 381043415 9018336414

Office Location

Street Address 7691 POPLAR AVE
City GERMANTOWN
State TN
Zip Code 38138

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700886926 Robert Neal Rayder Emergency Medicine 7691 Poplar Ave, Attn: Emergency Room, Germantown, TN 38138-3904 2005-07-29
1104435148 Jeannette Marie Gomez Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2020-07-27
1710505391 Joseph Brock Shemwell Registered Nurse 7691 Poplar Ave, Germantown, TN 38138-3904 2020-07-09
1972129609 Bonnie Elizabeth Ellzey Registered Nurse 7691 Poplar Ave, Germantown, TN 38138-3904 2020-06-18
1164056693 Tatyana Dromova Pasley Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2020-02-24
1255896957 Hilary Kabel Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2019-02-06
1467950105 Tunja Rash Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2018-01-29
1952822843 Christie Lynn Ragan Specialist/Technologist, Other 7691 Poplar Ave, Germantown, TN 38138-3904 2017-06-29
1972023943 Thomas Clay Carruth Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2017-06-21
1942741889 Ladonna Renee Edwards Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3498 2017-03-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790382281 Bluff Medical Group Nurse Practitioner 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 2020-10-07
1689293797 Diana Bryn Manning Dietitian, Registered 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 2020-04-09
1386102796 Moscow Group LLC Pharmacy 2013 Exeter Rd, Germantown, TN 38138 2019-03-05
1952811010 Select Counselor 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 2017-10-03
1033638994 901 Physical Therapy, Pllc Physical Therapist 2495 Regents Walk, Germantown, TN 38138 2017-09-12
1124552401 Elite Dental Germantown Plc Dentist 9064 Corporate Gradens Drive, Germantown, TN 38138 2017-04-13
1740728880 Christian C Haynes Nurse Anesthetist, Certified Registered 1900 Exeter Rd., Suite 210, Germantown, TN 38138 2017-02-09
1740644004 Kimberly Brooke Scheidegger Counselor 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 2016-04-12
1427411644 Jimmy Tam Tran Internal Medicine 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 2016-04-04
1952761876 Jane Chin Wynn Yeoh Orthopaedic Surgery 1400 South Germantown Road, Germantown, TN 38138 2016-03-04
Find all providers in zip 38138

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518500123 Marybeth Trutko Stockman Nurse Practitioner 18928 Liberty Mill Rd, Germantown, MD 20874-1414 2019-10-26
1760428239 Cheryl Jane Spritzer Nurse Practitioner 12429 Milestone Center Drive, Suite 200, Germantown, MD 20876-0299 2006-06-21
1104435148 Jeannette Marie Gomez Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2020-07-27
1477199354 Andrew Connor Ragin Nurse Practitioner 7460 Wolf River Blvd, Germantown, TN 38138-1760 2019-11-26
1043793896 Lindsay Mikaela Barton Nurse Practitioner 7600 Wolf River Blvd, Germantown, TN 38138 2018-09-07
1497204911 Deiadra Brown Nurse Practitioner 7460 Wolf River Blvd, Germantown, TN 38138-1760 2016-09-26
1487109773 Jena Parker Willis Nurse Practitioner 8060 Wolf River Blvd, Germantown, TN 38138-1727 2016-08-17
1487059143 Veronica Crowell Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2014-10-23
1023357860 Cynthia Denise Bedford Nurse Practitioner 7691 Poplar Ave, Germantown, TN 38138-3904 2013-02-13
1427301522 Meredith Murray Edwards Nurse Practitioner 7460 Wolf River Blvd, Germantown, TN 38138-1760 2012-10-26
Find all providers in GERMANTOWN

Competitor

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City GERMANTOWN
Zip Code 38138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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