Individual
KIMBERLY JOY BASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8877 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5887
(352) 674-1750
(352) 674-8950
Mailing address
1020 LAKE SUMTER LNDG, THE VILLAGES, FL 32162-2699
(352) 674-8905
(352) 674-8919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9430779
FL
363LF0000X
Family Nurse Practitioner
209013223
IL
Other
Enumeration date
09/16/2015
Last updated
08/15/2025
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