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Individual

KIMBERLY LYNN ELDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC, CWCN

Contact information

Practice address
2080 S FRONTAGE RD STE 109, VICKSBURG, MS 39180-5882
(601) 654-7070
(601) 636-6233
Mailing address
2080 S FRONTAGE RD STE 109, VICKSBURG, MS 39180-5882
(601) 654-7070
(601) 636-6233

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903224
MS

Other

Enumeration date
02/26/2019
Last updated
07/23/2024
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