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Individual

KIMBERLY DIANE NANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC, FNP

Contact information

Practice address
139 SCHOOL LN, MENA, AR 71953-8432
(479) 469-7722
(479) 469-7725
Mailing address
139 SCHOOL LN, MENA, AR 71953-8432
(479) 469-7722
(479) 469-7725

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01937
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163849758
AR
01
A01937
AR LICENSE
AR
Enumeration date
12/14/2006
Last updated
01/23/2026
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