MS. JACQUELYN DELOIS KIMBALL MSN NPI 1902802556

NPI Information

  • NPI: 1902802556
  • Provider Name: MS. JACQUELYN DELOIS KIMBALL, MSN
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 1056 E RAINES RD
    MEMPHIS, TN
    ZIP 38116
  • Phone: (901) 271-4900

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NPI Details

MS. Jacquelyn Delois Kimball, MSN is a primary care nurse practitioner in Memphis, TN. MS. Jacquelyn Delois Kimball, MSN NPI is 1902802556. 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:

1056 E RAINES RD
MEMPHIS, TN
ZIP 38116-337
Phone: (901) 271-4900
Fax: (901) 271-4911

The enumeration date for this NPI number is 6/27/2005 and was last updated on 7/8/2007.

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
1363LP2300XNurse PractitionerPrimary CareAPN0000010667TENNESSEEYes

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: 3/30/2025

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