Individual
MISTY DALE KIMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, RN, ACNP-BC
Contact information
Practice address
6316 NORTHPORT DR, DALLAS, TX 75230-4020
(404) 610-0820
Mailing address
6316 NORTHPORT DR, DALLAS, TX 75230-4020
(404) 610-0820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN151111
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP125472
TX
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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