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Kelley Funderburg, APRN
Family Nurse Practitioner in Germantown, Tennessee
NPI 1831621952

Kelley Funderburg is a Family Nurse Practitioner based in Germantown, TN and is specialized in Family. Kelley Funderburg practices in Germantown, TN and has the professional credentials of APRN. The NPI Number for Kelley Funderburg is 1831621952 and holds a License No. 22448 (Tennessee).

The current practice location address for Kelley Funderburg is 1400 S Germantown Rd, Germantown, TN and can be reached out via phone at 901-759-3100.

Location: 1400 S Germantown Rd, Germantown, TN, 38138-2205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831621952
Provider Name
Kelley Funderburg
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1400 S Germantown Rd, Germantown, TN, 38138-2205
Phone Number
901-759-3100
Fax Number
Provider Enumeration Date
03/29/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00759714 05 MS
Q045204 05 TN
institution
Provider Business Practice Location Address Details
Address
1400 S Germantown Rd
City
Germantown
State
Tennessee
Zip
38138-2205
Phone Number
901-759-3100
Fax Number
person
Provider Business Mailing Address Details
Address
1400 S Germantown Rd
City
Germantown
State
Tennessee
Zip
38138-2205
Phone Number
901-759-3100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
22448 (Tennessee)
Definition
Definition to come...
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