Kimbrell, Jennifer Marie

Kimbrell, Jennifer Marie is an individual health care provider with primary practice located at 930 20Th St S Ch20 Suite 140, Birmingham AL 35205-2610. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Kimbrell, Jennifer Marie can be contacted via phone (205) 934-7027.

Contact Information

Primary practice address
930 20Th St S Ch20 Suite 140 Birmingham AL 35205-2610
Phone: (205) 934-7027
Fax: (205) 996-7902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 1-118391 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-118391 Alabama

Profile Details

NPI number 1265725196
LBN Legal business name Kimbrell, Jennifer Marie
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2011
Last updated Aug 2nd, 2013 - about 13 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 1265725196 NPPES
Alabama MEDICAID 131694

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