MRS. KIMBERLY CHANNEL MCCLAIN FNP-C NPI 1679828495

NPI Information

NPI: 1679828495
Provider Name: MRS. KIMBERLY CHANNEL MCCLAIN, FNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Organization: NHCS PHYSICIANS INC

PECOS Registration: Yes

Address:
2707 MEDICAL OFFICE PL OFC
GOLDSBORO, NC
ZIP 27534
Phone: (919) 587-3700
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MRS. Kimberly Channel Mcclain, FNP-C is a primary care nurse practitioner in Goldsboro, NC with 12 years of experience. MRS. Kimberly Channel Mcclain, FNP-C NPI is 1679828495. 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:

2707 MEDICAL OFFICE PL OFC
GOLDSBORO, NC
ZIP 27534-458
Phone: (919) 587-3700
Fax: (919) 580-4080

The NPI 1679828495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 5/11/2021.

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	363LP2300X	Nurse Practitioner	Primary Care	5005725	NORTH CAROLINA	Yes
2	363L00000X	Nurse Practitioner		5005725	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	5005725	NORTH CAROLINA	No

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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