Individual
KIMBERLY F DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
120 FOUNTAINS BLVD, MADISON, MS 39110-6343
(769) 300-0700
(601) 990-2180
Mailing address
300 SHERBORNE PL, FLOWOOD, MS 39232-8959
(601) 421-9537
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901603
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
901603
APRN
MS
01
—
F06161208
NP CERT
—
01
—
R867828
RN LICENSE
MS
Enumeration date
10/18/2016
Last updated
12/08/2022
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