Individual provider · Type 1 NPI
Shirley Kimble
Primary Care Nurse Practitioner · Doddsville, MS
NPI number
1306673553
Active
Practice location
106 Pond Street Ext
Doddsville, MS 38736
Mailing address
1241 Highway 1 S
Greenville, MS 38701-6444
Other practice locations
- 1693 S Colorado St, Greenville, MS 38703-7211 · (662) 402-6884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 906327 (MS) |
| Gerontology Nurse Practitioner | 363LG0600X | 906327 (MS) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 906327 (MS) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1306673553
Shirley Kimble's National Provider Identifier is 1306673553, issued on Sep 19, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Doddsville, MS. The record was last updated on Sep 19, 2024.