Individual
KIMBERLY LINGENFELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 824-7593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
788112
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5014161
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP124211
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
788112
NURSING LICENSE
TX
01
—
AP124211
PMHNPC
TX
Enumeration date
11/26/2013
Last updated
05/04/2026
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