Individual
MS. JACQUELYN DELOIS KIMBALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1056 E RAINES RD, MEMPHIS, TN 38116-6337
(901) 271-4900
(901) 271-4911
Mailing address
244 BURWOOD DR, MEMPHIS, TN 38109-6755
(901) 789-3137
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN0000010667
TN
Other
Enumeration date
06/27/2005
Last updated
07/08/2007
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