MS. JACQUELYN DELOIS KIMBALL (NPI# 1902802556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902802556 |
| Entity Type | Individual |
| Full Name | MS. JACQUELYN DELOIS KIMBALL |
| Credential | MSN |
| Practice Address |
1056 E Raines Rd Memphis TN 38116-6337 |
| Mailing Address |
244 Burwood Dr Memphis TN 38109-6755 |
| Practice Telephone | 9012714900 |
| Practice Fax Number | 9012714911 |
| Mailing Telephone | 9017893137 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN0000010667 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265080857 | Jacquelyn Kimball | Registered Nurse | 1311 Brandywine Blvd, Wilmington, DE 19809-2306 | 2019-08-28 |
| 1881822419 | Jacquelyn Renae Kimball | Psychiatry & Neurology | 238 Northampton St, Easthampton Health Center, Easthampton, MA 01027-1046 | 2009-06-22 |
| Street Address |
1056 E RAINES RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891328993 | Dedicated Physicians Group of Tennessee, Pllc | Non-Pharmacy Dispensing Site | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2020-02-17 |
| 1649434382 | Us Department of Veteran Affairs | Chronic Disease Hospital | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2008-07-11 |
| 1083724439 | David Wayne Dunn | Pharmacist | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-30 |
| 1366552499 | Deanna Farrow Phillips | Pharmacist | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-30 |
| 1417066929 | Dennis Meeks | Social Worker | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-29 |
| 1104933365 | Alyce Ferguson Langley | Registered Nurse | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-24 |
| 1306951355 | Joanna Franz-stepniakowska | Internal Medicine | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-20 |
| 1861405797 | Elsheikh Ahmed Kineish | Clinic/Center | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-14 |
| 1225040264 | Glynda Hardy Montgomery | Dietitian, Registered | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1275009037 | Lashaunda Rogers | Nurse Practitioner | 1264 Wesley Dr Ste 501, Memphis, TN 38116-6456 | 2018-10-19 |
| 1699170019 | Kimberly Nicole Vann | Nurse Practitioner | 1669 Shelby Oaks Dr N Ste 106, Memphis, TN 38134-7441 | 2014-10-28 |
| 1770716078 | Christen D Greenfield | Nurse Practitioner | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2009-09-02 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1912418302 | Linda Marie Jones | Nurse Practitioner | 2400 Poplar Ave, Memphis, TN 38112-3213 | 2017-10-12 |
| 1053846154 | Christina Wallace | Nurse Practitioner | 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 | 2017-04-26 |
| 1194183137 | Gwendolyn Mathis | Nurse Practitioner | 2220 Union Ave, Memphis, TN 38104 | 2016-02-05 |
| 1841684636 | Mia Mccoy | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2015-03-19 |
| 1558594697 | Ann Regina Faulkner | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2009-08-24 |
| Find all providers in MEMPHIS | ||||
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| 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.