Shirley Kimble, is a
Nurse Practitioner - Primary Care based in Doddsville, Mississippi. Shirley Kimble is licensed to practice in Mississippi (license number 906327) and her current practice location is
106 Pond Street Ext, Doddsville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 402-6884.
NPI number for Shirley Kimble is 1306673553 and her current mailing address is 1241 Highway 1 S, Greenville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306673553.
Provider's Profile
| Full Name | Shirley Kimble |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 106 Pond Street Ext, Doddsville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306673553
- Provider Enumeration Date: 09/19/2024
- Last Update Date: 09/19/2024
Medical Identifiers
Medical identifiers for Shirley Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306673553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 906327 (Mississippi) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 906327 (Mississippi) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 906327 (Mississippi) | 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. Shirley 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 |
|---|
Shirley Kimble,
1241 Highway 1 S,
Greenville, MS 38701-6444
Ph: () - | Shirley Kimble,
106 Pond Street Ext,
Doddsville, MS 38736
Ph: (662) 402-6884 |
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