Fernandez, Kimberly Christina

Fernandez, Kimberly Christina is an individual health care provider with primary practice located at 4100 Waterman Way , Tavares FL 32778-5270. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fernandez, Kimberly Christina can be contacted via phone (352) 343-1117.

Contact Information

Primary practice address
4100 Waterman Way Tavares FL 32778-5270
Phone: (352) 343-1117
Fax: (866) 445-2968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9226751 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11029595 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11029595 Florida

Profile Details

NPI number 1376325852
LBN Legal business name Fernandez, Kimberly Christina
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2023
Last updated Dec 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376325852 NPPES
Florida MEDICAID 120457100

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