Davis, Kimberly F

Davis, Kimberly F is an individual health care provider with primary practice located at 120 Fountains Blvd , Madison MS 39110-6343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Davis, Kimberly F can be contacted via phone (769) 300-0700.

Contact Information

Primary practice address
120 Fountains Blvd Madison MS 39110-6343
Fax: (601) 990-2180
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 901603 Mississippi

Profile Details

NPI number 1699226399
LBN Legal business name Davis, Kimberly F
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2016
Last updated Dec 8th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699226399 NPPES
Mississippi Other 901603 APRN
Mississippi Other F06161208 APRN
Mississippi Other R867828 APRN

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