Individual
KIMBERLY CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1832 HOSPITAL DR, JACKSON, MS 39204-3410
(601) 371-8883
(844) 318-4882
Mailing address
286 FUNCHES RD, VICKSBURG, MS 39180-8037
(214) 620-4927
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902048
MS
Other
Enumeration date
06/07/2017
Last updated
08/28/2017
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