Individual
KIMBERLY DANIELLE SILLAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4702 MONROE HWY, BALL, LA 71405-3944
(318) 641-6113
(318) 641-6115
Mailing address
4702 MONROE HWY, BALL, LA 71405-3944
(318) 730-5645
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202489
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202489
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2492462
—
LA
Enumeration date
01/10/2019
Last updated
01/13/2026
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