Individual
MRS. KIMBERLY H BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1210 VINTAGE WAY, FERNANDINA BEACH, FL 32034-0299
(904) 261-0922
(904) 390-7477
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(907) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9165603
FL
363LF0000X
Family Nurse Practitioner
APRN9165603
FL
363LF0000X
Family Nurse Practitioner
ARNP 9165603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01390059
RR MEDICARE
FL
Enumeration date
10/02/2014
Last updated
12/15/2025
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