Basham, Kimberly Joy
Basham, Kimberly Joy is an individual health care provider with primary practice located at 8877 Se 165Th Mulberry Ln , The Villages FL 32162-5887. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Basham, Kimberly Joy can be contacted via phone (352) 674-1750.Contact Information
Primary practice address
8877 Se 165Th Mulberry Ln
The Villages FL 32162-5887
Phone: (352) 674-1750
Fax: (352) 674-8950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN9430779 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209013223 | Illinois |
Profile Details
| NPI number | 1790154169 |
|---|---|
| LBN Legal business name | Basham, Kimberly Joy |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2015 |
| Last updated | Dec 4th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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