MRS. KIMBERLY CARLY NICOLE STEVENSON FNP-BC NPI 1053818450

NPI Information

NPI: 1053818450
Provider Name: MRS. KIMBERLY CARLY NICOLE STEVENSON, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
908 SCARBRO RD
SCARBRO, WV
ZIP 25917
Phone: (304) 469-2905
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MRS. Kimberly Carly Nicole Stevenson, FNP-BC is a family nurse practitioner in Scarbro, WV. MRS. Kimberly Carly Nicole Stevenson, FNP-BC NPI is 1053818450. 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:

908 SCARBRO RD
SCARBRO, WV
ZIP 25917-837
Phone: (304) 469-2905

The NPI 1053818450 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 4/11/2018 and was last updated on 3/10/2021.

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	163W00000X	Registered Nurse		97400	WEST VIRGINIA	No
2	163W00000X	Registered Nurse		467275	OHIO	No
3	363LF0000X	Nurse Practitioner	Family	0024180856	VIRGINIA	Yes
4	363LF0000X	Nurse Practitioner	Family	108428	WEST VIRGINIA	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: 5/5/2024

NPI Synchronization or Removal

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