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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1881674109 NPPES
Texas MEDICAID 178310201

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