Individual
KIMBERLY R FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP128814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3535270-01
—
TX
Enumeration date
02/17/2015
Last updated
02/01/2018
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