MS. KIM WILLAMS TRUESDALE (NPI# 1609949692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609949692 |
| Entity Type | Individual |
| Full Name | MS. KIM WILLAMS TRUESDALE |
| Credential | CRNP |
| Practice Address |
139 North Oliver St Brooksville MS 39739 |
| Mailing Address |
6637 Greenfield Dr West Point MS 39773-6501 |
| Practice Telephone | 6627384424 |
| Practice Fax Number | 6627384615 |
| Mailing Telephone | 6624924307 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R576972 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00113993 | 05 |
| Street Address |
139 NORTH OLIVER ST |
| City | BROOKSVILLE |
| State | MS |
| Zip Code | 39739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124644968 | First Choice Family Medical Clinic, LLC | Clinic/Center | 50 Highway 388, Brooksville, MS 39739 | 2020-06-17 |
| 1083139455 | Williams Care Company | In Home Supportive Care | 3695 Drake Hill Rd, Brooksville, MS 39739 | 2017-08-07 |
| 1396049185 | John D Owings IIi | Pharmacist | 312 North Oliver St., Brooksville, MS 39739 | 2011-01-07 |
| 1417180712 | John C Mason | Pharmacist | 139 North Oliver St., Brooksville, MS 39739 | 2009-09-02 |
| 1669657565 | Noxubee General Critical Access Hospital | Clinic/Center | 139 North Oliver Street, Brooksville, MS 39739 | 2008-01-09 |
| 1023150786 | Brooksville Clinical Laboratory, Inc. | Clinical Medical Laboratory | 139 N Oliver Street, Brooksville, MS 39739 | 2007-02-12 |
| 1710964754 | Charles Larry Mccullouch Jr. | Family Medicine | 1560 North Oliver St., Brooksville, MS 39739 | 2005-12-30 |
| 1104843671 | Freds Stores of Tennessee Inc | Pharmacy | 25 Main Street, Brookesville, MS 39739 | 2006-07-17 |
| 1922171826 | Brooksville Medical Clinic Inc | Clinic/Center | 139 N. Oliver St., Brooksville, MS 39739-0348 | 2006-11-16 |
| 1639211121 | Macon City Drug Store, Inc. | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2007-02-13 |
| Find all providers in zip 39739 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711607 | Belinda Manuel | Nurse Practitioner | 31 Olive St, Brooksville, FL 34601-2125 | 2020-02-10 |
| 1811408164 | Dayana Abraham | Nurse Practitioner | 14540 Cortez Blvd Ste 120, Brooksville, FL 34613-6002 | 2017-10-13 |
| 1407289929 | Sean Lee Muffley | Nurse Practitioner | 26377 Richbarn Rd, Brooksville, FL 34601-5446 | 2013-08-20 |
| 1386916062 | Community Medical Associates, Pllc | Nurse Practitioner | 5176 William Sullivan Cir, Brooksville, FL 34604-8227 | 2012-01-27 |
| 1689820284 | Lemkham Benton | Nurse Practitioner | 7007 Grove Road, Brooksville, FL 34609 | 2008-08-14 |
| 1548313968 | James Summerlin | Nurse Practitioner | 17222 Hospital Blvd Ste 226, Brooksville, FL 34601-8925 | 2007-01-19 |
| 1821053083 | Anthony P Laviano | Nurse Practitioner | 12220 Cortez Blvd, Brooksville, FL 34613-2631 | 2006-04-19 |
| 1083673412 | Alex B Bahadori | Nurse Practitioner | 12900 Cortez Blvd Ste 205, Brooksville, FL 34613-4898 | 2006-03-23 |
| 1861485260 | Carmen Regina Galda | Nurse Practitioner | 26 E Liberty St, Brooksville, FL 34601-2910 | 2005-08-31 |
| 1821638289 | Healing Hands Nursing Home Services LLC | Nurse Practitioner | 12170 Cortez Blvd, Brooksville, FL 34613-5578 | 2020-01-13 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 39739 |
Please comment or provide details below to improve the information on MS. KIM WILLAMS TRUESDALE.
| 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.