Individual provider · Type 1 NPI

Daphene Luvata Kimball-Butler, RN.PCM.CLC.SANE.

Community Health Registered Nurse · Stockbridge, GA

NPI number 1669448643 Active

Practice location

4778 N Henry Blvd
Stockbridge, GA 30281-3566

Fax (770) 786-2223

Mailing address

40 Blake Ave
Porterdale, GA 30014-5016

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500XRN136141 (GA)
Case Management Registered Nurse 163WC0400XRN136141 (GA)
Lactation Consultant (Registered Nurse) 163WL0100XRN136141 (GA)
Maternal Newborn Registered Nurse 163WM0102XRN136141 (GA)
Continuing Education/Staff Development Registered Nurse 163WC1600XRN136141 (GA)
Wound Care Registered Nurse 163WW0000XRN136141 (GA)
Case Management Registered Nurse 163WC0400XR73283 (SC)
Community Health Registered Nurse 163WC1500XR73283 (SC)
Lactation Consultant (Registered Nurse) 163WL0100XR73283 (SC)
Maternal Newborn Registered Nurse 163WM0102XR73283 (SC)
Continuing Education/Staff Development Registered Nurse 163WC1600XR73283 (SC)
High-Risk Obstetric Registered Nurse 163WX0002XR73283 (SC)
Perinatal Registered Nurse 163WP1700XR73283 (SC)
Wound Care Registered Nurse 163WW0000XR73283 (SC)

Community Health Registered Nurse: Definition to come...

2 other providers at this address

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About NPI 1669448643

Daphene Luvata Kimball-Butler, RN.PCM.CLC.SANE.'s National Provider Identifier is 1669448643, issued on Feb 28, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Stockbridge, GA. The record was last updated on Jan 25, 2010.