Jennifer S Kimball in Lewiston - Nurse Practitioner

Jennifer S Kimball - NPI 1902871205

Jennifer S Kimball is a Nurse Practitioner in Lewiston, Maine. Jennifer S Kimball practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jennifer S Kimball is 1902871205. The last update date is 2011-04-28.

Jennifer S Kimball's current location address is 77 Bates St, Lewiston, Maine. You can contact this provider via phone number 2077832300 and fax number 2077832439. The mailing address for Jennifer S Kimball is 77 Bates St, Lewiston, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer S Kimball
Address 77 Bates St, Lewiston, Maine
Phone Number 2077832300
Fax Number 2077832439
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1902871205
Provider Enumeration Date 2006-02-21
Last Updated Date 2011-04-28

Provider Mailing Address Detail

Address 77 Bates St
City Lewiston
State Maine (ME)
Post Code 4240
Phone Number 2077832300
Fax Number 2077832439

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No R045683
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10424957 CHAMPUS
10424957 STANDARD TAX ID
10424957 CHAMPUS GROUP NUMBER
10424957 STANDARD TAX ID GROUP
10424957 TRICARE GROUP NUMBER
10424957 HARVARD PILGRIM GROUP NO
10424957 TRICARE
P0061 BCBS GROUP NUMBER
10424957 EMPLOY STANDARDS
250012128 MEDICARE RAILROAD GROUP

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FAQs about Jennifer S Kimball

What is the unique 10-digit identifier code issued to Jennifer S Kimball by the Centers for Medicare & Medicaid Services?

The Jennifer S Kimball has been assigned the NPI (National Provider Identifier) 1902871205 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jennifer S Kimball is located?

The Jennifer S Kimball is situated at the following address: 77 Bates St, Lewiston, ME, 4240.

What is the Jennifer S Kimball's specialty and taxonomy code?

The Jennifer S Kimball's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

On what date was the 1902871205 assigned to Jennifer S Kimball?

The Jennifer S Kimball was issued its 1902871205 on 2006-02-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Jennifer S Kimball's information last updated?

The Jennifer S Kimball's information was last updated on 2011-04-28.

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