Individual
KIMBRA ANN EPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1959 NE DIAMOND LAKE BLVD STE 109, ROSEBURG, OR 97470-3573
(541) 492-1785
(833) 764-4112
Mailing address
1959 NE DIAMOND LAKE BLVD STE 109, ROSEBURG, OR 97470-3573
(541) 492-1785
(833) 764-4112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89000514N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R103163
MEDICARE PART B
—
Enumeration date
10/26/2006
Last updated
01/12/2026
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