Search › Tennessee › 363L00000X
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, LlcInferred 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