Kimbro, Jennifer A

Kimbro, Jennifer A is an individual health care provider with primary practice located at 904 N 75Th Ave , Pensacola FL 32506-3820. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kimbro, Jennifer A can be contacted via phone (850) 434-0077.

Contact Information

Primary practice address
904 N 75Th Ave Pensacola FL 32506-3820
Phone: (850) 434-0077
Fax: (850) 434-0220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 11001076 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11001076 Florida

Profile Details

NPI number 1801350848
LBN Legal business name Kimbro, Jennifer A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2019
Last updated Jul 21st, 2020 - 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 1801350848 NPPES
Florida MEDICAID 104865300

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