Individual
TIFFANY LYNN KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4 BYPASS RD STE 104, SALEM, NJ 08079-2053
(856) 887-3005
(856) 753-4035
Mailing address
4 BYPASS RD STE 104, SALEM, NJ 08079-2053
(856) 887-3005
(856) 753-4035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15227900
NJ
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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