KIMBERLY JO REDDEN AGNP NPI 1811404775

NPI Information

  • NPI: 1811404775
  • Provider Name: KIMBERLY JO REDDEN, AGNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 100 BAPTIST MEMORIAL CIR STE 202
    OXFORD, MS
    ZIP 38655
  • Phone: (662) 636-2451

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NPI Details

Kimberly Jo Redden, AGNP is a gerontology nurse practitioner in Oxford, MS. Kimberly Jo Redden, AGNP NPI is 1811404775. 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:

100 BAPTIST MEMORIAL CIR STE 202
OXFORD, MS
ZIP 38655-476
Phone: (662) 636-2451
Fax: (662) 636-2290

The enumeration date for this NPI number is 1/1/2018 and was last updated on 10/8/2018.

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
1363LA2200XNurse PractitionerAdult Health23629TENNESSEENo
2363LA2200XNurse PractitionerAdult Health902335MISSISSIPPINo
3363LG0600XNurse PractitionerGerontology902335MISSISSIPPIYes
4363LG0600XNurse PractitionerGerontology23629TENNESSEENo

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: 11/21/2025

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