Kimberly Davis, is a
Nurse Practitioner - Family based in Justin, Texas. Kimberly Davis is licensed to practice in Texas (license number 1099753) and her current practice location is
1205 Kilburn Loop, Justin, Texas. She can be reached at her office (for appointments etc.) via phone at
(847) 736-4053.
NPI number for Kimberly Davis is 1629759568 and her current mailing address is 1205 Kilburn Loop, Justin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629759568.
Provider's Profile
| Full Name | Kimberly Davis |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1205 Kilburn Loop, Justin, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629759568
- Provider Enumeration Date: 07/25/2023
- Last Update Date: 07/25/2023
Medical Identifiers
Medical identifiers for Kimberly Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629759568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 1099753 (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. Kimberly Davis 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 |
|---|
Kimberly Davis,
1205 Kilburn Loop,
Justin, TX 76247-2273
Ph: (847) 736-4053 | Kimberly Davis,
1205 Kilburn Loop,
Justin, TX 76247-2273
Ph: (847) 736-4053 |
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