Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLIE LA'TASHA MABRY, FNP-C
Active Sole ProprietorMRS. KIMBERLIE LA'TASHA MABRY, FNP-C is a Family Medicine healthcare provider located in GAUTIER, Mississippi. NPI 1891422853 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GAUTIER, MS
Registration Details
- NPI Number
- 1891422853
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2022 (4.0497730060943 yrs)
- Last Updated
- Jul 18, 2023
- Licenses
-
905478 (MS)227359 (LA)905478 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1509 WILLOWBEND DRGAUTIER, MS, 395537627Browse MS providers · Browse ZIP 39553
- Phone
- 2286271223
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GAUTIER, MS
| Name | Credential | NPI |
|---|---|---|
| DR. RICK D HOOVER | DO | 1962493577 |
| DR. JEFFERSON HOPKINS HARMAN JR. | M.D. | 1467433441 |
| DR. GREGORY BARAT FOX | DO | 1427230713 |
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.