Kimberly Nicole Patrick
Licensed Practical Nurse · Petal, MS
Practice location
15 Sunline DrPetal, MS 39465-9029
- Phone
- (601) 325-1107
NPI record
- NPI
- 1639685639
- Entity type
- Individual (Type 1)
- Enumeration date
- December 28, 2017
- Last updated
- May 28, 2025
- Certified
- May 28, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
334167 | MS |
| Community Health Registered Nurse | 163WC1500X |
931616 | MS |
Mailing address
635 Hampshire DrBrandon, MS 39047-7797
- Phone
- (601) 325-1107
About Kimberly Patrick
Kimberly Nicole Patrick is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 15 Sunline Dr, Petal, MS 39465-9029. The NPI number 1639685639 was assigned on December 28, 2017 and the record was last updated on May 28, 2025.
Kimberly Patrick lists 2 licenses in the registry: #334167 (MS) for Licensed Practical Nurse; #931616 (MS) for Community Health Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kimberly Nicole Patrick?
The NPI number is 1639685639.
What is the phone number of Kimberly Patrick?
The phone number listed for the practice location is (601) 325-1107.
Where is Kimberly Patrick located?
15 Sunline Dr, Petal, MS 39465-9029.
What is the taxonomy code for Kimberly Patrick?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.