Individual provider · Type 1 NPI

Jacquelyn Delois Kimball, MSN

Primary Care Nurse Practitioner · Memphis, TN

NPI number 1902802556 Active

Practice location

1056 E Raines Rd
Memphis, TN 38116-6337

Fax (901) 271-4911

Mailing address

244 Burwood Dr
Memphis, TN 38109-6755

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAPN0000010667 (TN)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1902802556

Jacquelyn Delois Kimball, MSN's National Provider Identifier is 1902802556, issued on Jun 27, 2005. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Memphis, TN. The record was last updated on Jul 13, 2026.