Individual provider · Type 1 NPI
Kimberly McKissack, NP
Primary Care Nurse Practitioner · Hampton, VA
NPI number
1720490386
Active
Practice location
100 Emancipation Dr
Hampton, VA 23667-3302
Mailing address
3001 W Mercury Blvd Unit C
Hampton, VA 23666-3930
Other practice locations
- 3001 W Mercury Blvd Unit C, Hampton, VA 23666-3930 · (757) 405-6060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 0024173116 (VA) |
| Nurse Practitioner | 363L00000X | 0024173116 (VA) |
| Women's Health Nurse Practitioner | 363LW0102X | APN0000018429 (TN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1720490386
Kimberly McKissack, NP's National Provider Identifier is 1720490386, issued on May 29, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hampton, VA. The record was last updated on Aug 20, 2023.