Individual
MRS. KIMBERLY DENISE HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2000 16TH AVE, COLUMBUS, GA 31901-1665
(706) 320-3770
(706) 320-3772
Mailing address
PO BOX 8824, COLUMBUS, GA 31908-8824
(706) 320-3770
(706) 320-3772
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN154558
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN154558
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140075B
—
GA
05
—
164957
—
AL
01
—
2013005222
PMHCNS-BC
GA
01
—
NCO-000003
NURSE PRACTITIONER
GA
01
—
RN154558
RN LICENSE
GA
Enumeration date
04/06/2007
Last updated
08/02/2015
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