Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY NICOLE PATRICK
Active Sole ProprietorKIMBERLY NICOLE PATRICK is a Licensed Practical Nurse healthcare provider located in PETAL, Mississippi. NPI 1639685639 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · PETAL, MS
Registration Details
- NPI Number
- 1639685639
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2017 (8.6514927437809 yrs)
- Last Updated
- May 28, 2025
- Licenses
-
931616 (MS)334167 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 SUNLINE DRPETAL, MS, 394659029Browse MS providers · Browse ZIP 39465
- Phone
- 6013251107
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Practical Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.