KIMBERLY ANN JUSTICE


Address: 2620 Fred Daugherty Ave, Clovis, NM 88101-8636
Phone: 5757491143

KIMBERLY ANN JUSTICE (NPI# 1417574278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417574278
Entity Type Individual
Full Name KIMBERLY ANN JUSTICE
Credential RN, PMHNP-BC
Practice Address 2620 Fred Daugherty Ave
Clovis
NM 88101-8636
Practice Telephone 5757491143
Mailing Telephone 5757491143
Enumeration Date 2020-06-28
Last Update Date 2020-09-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN-80801 NM Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
60947 NM Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY JUSTICE

NPI Name Taxonomy Address Enumeration
1073726758 Kimberly Sue Justice Home Health Aide 56 County Rd. 8, Kitts Hill, OH 45645 2007-05-08
1699242172 Kimberly Justice Counselor 104 S Front Ave, Prestonsburg, KY 41653-1614 2018-11-01
1306375050 Kimberly Eve Justice Registered Nurse 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 2017-06-07

Office Location

Street Address 2620 FRED DAUGHERTY AVE
City CLOVIS
State NM
Zip Code 88101-8636

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1013425800 Vanessa Yardley Registered Nurse 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 2018-01-16
1699204230 Olivia Garcia Technician, Other 1100 W 21st Street, Clovis, NM 88101 2017-06-07
1578006250 Mary Ellen Gray Technician, Other 9408 B Vermont Court, Clovis, NM 88101 2016-11-29
1205296977 Malaney Harmon Behavioral Analyst 2700 E 7th St., Clovis, NM 88101 2016-02-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639487333 Kim G Devou Nurse Practitioner 2301 N Mlk Blvd, Clovis, NM 88101-9401 2010-09-16

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1245869130 Indigo Psychiatric Services Nurse Practitioner 609 Gold Ave Sw Ste 1-c, Albuquerque, NM 87102-3119 2020-04-03
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Competitor

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City CLOVIS
Zip Code 88101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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