Individual
KIMBERLY ELAINE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4211 JOE RAMSEY BLVD E STE 105, GREENVILLE, TX 75401
(214) 369-3613
(903) 408-7919
Mailing address
4211 JOE RAMSEY BLVD E STE 105, GREENVILLE, TX 75401-7858
(214) 369-3613
(903) 408-7919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
616441
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP132579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616441
REGISTERED NURSE LICENSE
TX
Enumeration date
11/30/2016
Last updated
07/05/2023
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