KIMBA ANNETTE MAYS RN NPI 1174741961

NPI Information

NPI: 1174741961
Provider Name: KIMBA ANNETTE MAYS, RN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
804 N PARKWAY
JACKSON, TN
ZIP 38305
Phone: (731) 927-8529
Get Directions

Kimba Annette Mays, RN is a community health registered nurse in Jackson, TN. Kimba Annette Mays, RN NPI is 1174741961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

804 N PARKWAY
JACKSON, TN
ZIP 38305-058
Phone: (731) 927-8529
Fax: (731) 927-8600

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	RN0000095298	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3914083	MEDICARE PIN
2	P00276040	MEDICARE PIN	TENNESSEE
3	626000729	OTHER		EMPLOYERS TAX ID NUMBER
4	4448133	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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