Provider Demographics
NPI:1588482095
Name:HINSON, KIMBERLY JOY (ARNP, FNP-C, BCEN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JOY
Last Name:HINSON
Suffix:
Gender:F
Credentials:ARNP, FNP-C, BCEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20383 DMC HIGHWAY 99
Mailing Address - Street 2:
Mailing Address - City:MEDIAPOLIS
Mailing Address - State:IA
Mailing Address - Zip Code:52637-9387
Mailing Address - Country:US
Mailing Address - Phone:319-572-5836
Mailing Address - Fax:
Practice Address - Street 1:801 S ROOSEVELT AVE STE C
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-1691
Practice Address - Country:US
Practice Address - Phone:319-768-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA181608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily