Individual
MS. JANICE LOUISE KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4420 LAKE BOONE TRL, PALLIATIVE CARE OFFICE, RALEIGH, NC 27607-7505
(919) 784-3298
(919) 784-6176
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3298
(919) 784-6176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
900075
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
900075
NC
363LA2200X
Adult Health Nurse Practitioner
F440034-1
NY
Other
Enumeration date
06/05/2006
Last updated
05/11/2015
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