Individual
KIMBERLEY STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
564 CYPRESS LN APT 13C, GREENVILLE, MS 38701-7415
(662) 379-7716
Mailing address
564 CYPRESS LN APT 13C, GREENVILLE, MS 38701-7415
(662) 379-7716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
931667
MS
164W00000X
Licensed Practical Nurse
Primary
P319467
MS
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/18/2015
Last updated
07/02/2026
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