Individual
KIMBERLY C WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
701 DOCTORS DR STE A, KINSTON, NC 28501-1584
(252) 522-4446
(252) 208-1647
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007740
NC
363LA2200X
Adult Health Nurse Practitioner
5007740
NC
363LG0600X
Gerontology Nurse Practitioner
5007740
NC
Other
Enumeration date
07/07/2015
Last updated
08/20/2021
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