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Individual
MRS. JENNIFER MARIE KIMBRELL
Active
Individual
MRS. JENNIFER MARIE KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1-118391
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-118391
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131694
—
AL
Enumeration date
05/25/2011
Last updated
08/02/2013
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