SearchTennessee363L00000X

Kiwana Derrick, RN, AGNP-C

NPI 1871105320 · on the registry since 2020 · sole proprietor

Practice

Address
835 Union St
Shelbyville, TN 37160
Phone
(931) 680-2300
Organisation at this address
Bedford County Nursing Home
The Waters Of Shelbyville Llc
Christian Care Center Of Bedford County, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163WG0600X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee