Provider Demographics
NPI:1457908584
Name:CHAPMAN, KIMBERLY SPAIN (MSN, APRN-BC, CCNS)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:SPAIN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MSN, APRN-BC, CCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14631 CLOVER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2603
Mailing Address - Country:US
Mailing Address - Phone:804-639-6092
Mailing Address - Fax:
Practice Address - Street 1:7229 FOREST AVE STE 212
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3765
Practice Address - Country:US
Practice Address - Phone:804-281-0248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0015001026364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care