Individual provider · Type 1 NPI

Kimberly Anne Sloan, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Watertown, NY

NPI number 1669293916 Active

Practice location

650 State St
Watertown, NY 13601-2839

Fax (315) 291-6601

Mailing address

5420 Lucknow Dr
Clay, NY 13041-9709

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X636163 (NY)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X407397 (NY)
Critical Care Medicine Registered Nurse 163WC0200X636163 (NY)
Administrator Registered Nurse 163WA2000X636163 (NY)
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X636163 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1669293916

Kimberly Anne Sloan, PMHNP's National Provider Identifier is 1669293916, issued on Oct 21, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Watertown, NY. The record was last updated on Jan 8, 2026.