Sargent, Kimball Jane-Marie

Sargent, Kimball Jane-Marie is an sole proprietor health care provider with primary practice located at 7155 Sunset Lake Rd , Fuquay Varina NC 27526-8638. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Sargent, Kimball Jane-Marie can be contacted via phone (919) 838-0804.

Contact Information

Primary practice address
7155 Sunset Lake Rd Fuquay Varina NC 27526-8638
Phone: (919) 838-0804
Fax: (919) 838-1219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 080028 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 080028 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 0261495-01 North Carolina

Profile Details

NPI number 1174570808
LBN Legal business name Sargent, Kimball Jane-Marie
Credentials MSN, PMHCNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2006
Last updated Jan 13th, 2019 - 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 1174570808 NPPES
North Carolina Other 10079 BCBS PROVIDER #
North Carolina Other 527619 BCBS PROVIDER #
North Carolina MEDICAID 6004025 BCBS PROVIDER #
North Carolina Other 232289 BCBS PROVIDER #
North Carolina Other C 2802004 BCBS PROVIDER #

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