Kimbro, Porscha Shantell
Kimbro, Porscha Shantell is an sole proprietor health care provider with primary practice located at 1043 Town Center Dr , Orange City FL 32763-8360. 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. Kimbro, Porscha Shantell can be contacted via phone (386) 774-0188.Contact Information
Primary practice address
1043 Town Center Dr
Orange City FL 32763-8360
Phone: (386) 774-0188
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 11007402 | Florida |
Profile Details
NPI number | 1831780014 |
---|---|
LBN Legal business name | Kimbro, Porscha Shantell |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 29th, 2021 |
Last updated | Jan 29th, 2021 - about 3 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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