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

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X906327 (MS)
Gerontology Nurse Practitioner 363LG0600X906327 (MS)
Primary Care Nurse Practitioner Primary 363LP2300X906327 (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.