Individual
KIMBERLY ANNE SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
650 STATE ST, WATERTOWN, NY 13601-2839
(315) 755-1251
(315) 291-6601
Mailing address
5420 LUCKNOW DR, CLAY, NY 13041-9709
(315) 256-8410
(315) 291-6601
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
636163
NY
163WC0200X
Critical Care Medicine Registered Nurse
636163
NY
163WE0003X
Emergency Registered Nurse
636163
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
636163
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407397
NY
Other
Enumeration date
10/21/2024
Last updated
01/08/2026
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