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

KIMBERLY MCKISSACK, NP

Active Sole Proprietor

KIMBERLY MCKISSACK, NP is a Primary Care Nurse Practitioner healthcare provider located in HAMPTON, Virginia. NPI 1720490386 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · HAMPTON, VA

Registration Details

NPI Number
1720490386
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2014 (12.197237794703 yrs)
Last Updated
Aug 20, 2023
Licenses
0024173116 (VA)
0024173116 (VA)
APN0000018429 (TN)
Sole Proprietor
Yes

Practice Information

Address
100 EMANCIPATION DR
HAMPTON, VA, 236673302
Browse VA providers · Browse ZIP 23667
Phone
7577229961
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Nurse Practitioner

Other Primary Care Nurse Practitioner Providers in HAMPTON, VA

Name Credential NPI
MARY J GIBSON NP 1790974723
MARIANNA LOVICK PIERCE FNP-C 1598137945
KRISTINE GALE SWEENEY FNP-BC 1437636537
DARCIE HEADLEY NP 1942192711
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.