person
Mrs. Felicia Desha Kimbrough, FNPBC
Nurse Practitioner in Carbondale, Illinois
NPI 1679740708

Felicia Desha Kimbrough is a Nurse Practitioner based in Carterville, IL. Felicia Desha Kimbrough practices in Carbondale, IL and has the professional credentials of FNPBC. The NPI Number for Felicia Desha Kimbrough is 1679740708 and holds a License No. 209007991 (Illinois).

The current practice location address for Felicia Desha Kimbrough is 1301 E Walnut St Rm J120, Carbondale, IL and can be reached out via phone at 618-519-9200 and via fax at 618-457-8931.

Location: 1301 E Walnut St Rm J120, Carbondale, IL, 62918-1923
person
Provider Profile Details
NPI Number
1679740708
Provider Name
Felicia Desha Kimbrough
Credential
FNPBC
Provider Entity Type
Individual
Gender
Female
Address
1301 E Walnut St Rm J120, Carbondale, IL, 62918-1923
Phone Number
618-519-9200
Fax Number
618-457-8931
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
406333266001 05 IL
370966854002 05 IL
370966854005 05 IL
CF3444 01 IL MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
1301 E Walnut St Rm J120
City
State
Zip
62901-5004
Phone Number
618-519-9200
Fax Number
618-457-8931
person
Provider Business Mailing Address Details
Address
1301 E Walnut St Rm J120
City
State
Zip
62901-5004
Phone Number
618-519-9200
Fax Number
618-457-8931
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
209007991 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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