Individual provider · Type 1 NPI

Porscha Shantell Kimbro, ARNP

Nurse Practitioner · Orange City, FL

NPI number 1831780014 Active

Practice location

1043 Town Center Dr
Orange City, FL 32763-8360

Call (386) 774-0188 Map

Mailing address

3030 Galaxy St
Deltona, FL 32738-7216

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11007402 (FL)

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…

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About NPI 1831780014

Porscha Shantell Kimbro, ARNP's National Provider Identifier is 1831780014, issued on Jan 29, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange City, FL. The record was last updated on Jan 29, 2021.