Kimball, Jacquelyn Delois

Kimball, Jacquelyn Delois is an individual health care provider with primary practice located at 1056 E Raines Rd , Memphis TN 38116-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Kimball, Jacquelyn Delois can be contacted via phone (901) 271-4900.

Contact Information

Primary practice address
1056 E Raines Rd Memphis TN 38116-6337
Fax: (901) 271-4911
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN0000010667 Tennessee

Profile Details

NPI number 1902802556
LBN Legal business name Kimball, Jacquelyn Delois
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Jul 8th, 2007 - about 18 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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