Provider Demographics
NPI:1821667833
Name:TIMBERLAKE, CATHERINE MARIE (NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARIE
Last Name:TIMBERLAKE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:102 WOODMONT BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-5250
Mailing Address - Country:US
Mailing Address - Phone:888-987-1151
Mailing Address - Fax:
Practice Address - Street 1:3022 EASTWAY DR STE 1-3
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5642
Practice Address - Country:US
Practice Address - Phone:704-251-8228
Practice Address - Fax:980-549-3830
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2025-09-24
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Provider Licenses
StateLicense IDTaxonomies
NC5015464363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology