Individual
MRS. KIMBERLY C HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1002 W 3RD ST, SILER CITY, NC 27344-3042
(919) 742-2209
(919) 742-1310
Mailing address
1002 W 3RD ST, SILER CITY, NC 27344-3042
(919) 742-2209
(919) 742-1310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5004661
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003130121
NPI
NC
01
—
203118
RN LICENSE
NC
01
—
5004661
NURSE PRACTITIONER LICENSE
NC
Enumeration date
03/18/2010
Last updated
03/07/2023
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