Individual
KIMBERLY ANN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
158 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 353-5111
(910) 941-0858
Mailing address
PO BOX 187, FAISON, NC 28341-0187
(910) 267-2042
(855) 996-9090
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
229465
NC
363LF0000X
Family Nurse Practitioner
Primary
229465
NC
Other
Enumeration date
07/13/2023
Last updated
12/04/2024
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