Individual provider · Type 1 NPI
Felicia Desha Kimbrough, FNP BC
Nurse Practitioner · Carbondale, IL
Practice location
1301 E Walnut St Rm J120
Carbondale, IL 62901-5004
Fax (618) 457-8931
Mailing address
109 California St
Carterville, IL 62918-1923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209007991 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1679740708
Felicia Desha Kimbrough, FNP BC's National Provider Identifier is 1679740708, issued on May 8, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carbondale, IL. The record was last updated on Aug 16, 2022.