Individual
KIMBERLY CHRISTINA BISCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1743 WATSON BLVD, WARNER ROBINS, GA 31093-3622
(478) 929-2909
Mailing address
1743 WATSON BLVD, WARNER ROBINS, GA 31093-3622
(478) 929-2909
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN250388
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206293430
—
GA
05
—
G206293430
—
GA
Enumeration date
10/06/2021
Last updated
10/06/2021
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