Mercer, Kimberly Ann
Mercer, Kimberly Ann is an sole proprietor health care provider with primary practice located at 2825 Stadium Dr , Fort Worth TX 76109-1377. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mercer, Kimberly Ann can be contacted via phone (817) 257-4528.Contact Information
Primary practice address
2825 Stadium Dr
Fort Worth TX 76109-1377
Phone: (817) 257-4528
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 253134 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 253134 | Texas |
Profile Details
| NPI number | 1881674109 |
|---|---|
| LBN Legal business name | Mercer, Kimberly Ann |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Nov 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881674109 | NPPES |
| Texas | MEDICAID | 178310201 |
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