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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY FAIRCLOUGH

Deactivated

KIMBERLY FAIRCLOUGH is a Family Nurse Practitioner healthcare provider located in ATLANTA, Georgia. NPI 1669137949 is deactivated in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · ATLANTA, GA

This NPI has been deactivated. The record was deactivated on March 9, 2022. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1669137949
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2021 (0.34794520547945 yrs)
Last Updated
Jan 29, 2024
Deactivated
Mar 9, 2022
License
RN247126 (GA)

Practice Information

Address
5950 ROSWELL RD
ATLANTA, GA, 303284908
Browse GA providers · Browse ZIP 30328
Phone
0001112222
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in ATLANTA, GA

Name Credential NPI
KENNETH EUGENE LYDA FNP 1043215999
KATHERINE ABRAHAM EVANS NP 1467457556
GLENDA LEE BRYANT FNP 1508861592
MS. CARLOTA E PERROT NP-C 1366449035
MRS. BETH S BOTNICK NP 1780676031
TRACY ANDREA CARSTARPHEN NP 1043204969
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.