Ieshia Kimble, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Lavon, Texas. Ieshia Kimble is licensed to practice in Texas (license number 1071306) and her current practice location is
479 Coolidge Ln, Lavon, Texas. She can be reached at her office (for appointments etc.) via phone at
(414) 520-7156.
NPI number for Ieshia Kimble is 1124774500 and her current mailing address is 479 Coolidge Ln, Lavon, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124774500.
Provider's Profile
Full Name | Ieshia Kimble |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 479 Coolidge Ln, Lavon, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124774500
- Provider Enumeration Date: 02/24/2022
- Last Update Date: 02/24/2022
Medical Identifiers
Medical identifiers for Ieshia Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124774500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1071306 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ieshia Kimble is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ieshia Kimble, PMHNP 479 Coolidge Ln, Lavon, TX 75166-1694 Ph: (414) 520-7156 | Ieshia Kimble, PMHNP 479 Coolidge Ln, Lavon, TX 75166-1694 Ph: (414) 520-7156 |
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