Individual
MRS. KIMBERLY ANNE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
1014 ROSE ST STE D, PRENTISS, MS 39474-5271
(601) 792-2071
(601) 792-8134
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
874765
MS
363LF0000X
Family Nurse Practitioner
R874765
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09501028
—
MS
Enumeration date
06/01/2015
Last updated
03/26/2026
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