MRS. KIMBERLY DENISE PRINCE


Address: 1107 E Marshall Ave, Longview, TX 75601-5602
Phone: 9037582610

MRS. KIMBERLY DENISE PRINCE (NPI# 1780205427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780205427
Entity Type Individual
Full Name MRS. KIMBERLY DENISE PRINCE
Credential APRN, FNP-C
Practice Address 1107 E Marshall Ave
Longview
TX 75601-5602
Practice Telephone 9037582610
Practice Fax Number 9032127689
Mailing Telephone 9037582610
Mailing Fax Number 9032127689
Enumeration Date 2020-05-05
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP145974 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS BOARD OF NURSES AP145974 01

Other Providers KIMBERLY PRINCE

NPI Name Taxonomy Address Enumeration
1235679655 Kimberly Prince Counselor 2809 Placid Ct, Springfield, IL 62707-9384 2017-03-03
1336195072 Kimberly Prince Chiropractor 6538 W Atlantic Blvd, Margate, FL 33063-5135 2006-05-25
1710144563 Kimberly Jean Prince Dental Assistant 4913 W Reno Ave, Oklahoma City, OK 73127-6339 2008-05-20

Office Location

Street Address 1107 E MARSHALL AVE
City LONGVIEW
State TX
Zip Code 75601-5602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699772863 Mark Allison Little Optometrist 1107 E Marshall Ave, Longview, TX 75601 2005-07-03
1942847868 Bethany Dawn Walker Social Worker 1107 E Marshall Ave, Longview, TX 75601-5602 2019-12-10
1023650082 Lizeth Garcia Registered Nurse 1107 E Marshall Ave, Longview, TX 75601-5602 2019-10-11
1508426727 Brenda Greer-jennings Counselor 1107 E Marshall Ave, Longview, TX 75601-5602 2019-06-19
1659836252 Beverly Sumners Counselor 1107 E Marshall Ave, Longview, TX 75601-5602 2019-02-07
1164993382 Emili Deane Lim Counselor 1107 E Marshall Ave, Longview, TX 75601-5602 2018-12-16
1598241309 Elizabeth A Shireman Nurse Practitioner 1107 E Marshall Ave, Longview, TX 75601-5602 2018-07-15
1205381936 Christa Oberthier Counselor 1107 E Marshall Ave, Longview, TX 75601-5602 2016-08-23
1972966935 Jeffery Wayne Offutt Pharmacist 1107 E Marshall Ave, Longview, TX 75601-5602 2016-03-29
1255713251 Janet Hays Spec/Tech, Cardiovascular 1107 E Marshall Ave, Longview, TX 75601-5602 2015-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992351076 Stebbins Hospice LLC Hospice Care, Community Based 600-602 E. Whaley, Longview, TX 75601 2019-08-14
1720437692 J.l. Miguez, Inc. Hearing Aid Equipment 822 N 4th Street, Longview, TX 75601 2016-06-10
1801244090 Voyage Medical Solutions, LLC Durable Medical Equipment & Medical Supplies 111 W Tyler St, Longview, TX 75601 2016-05-27
1134504426 Siobain Kay Rogers Nurse Practitioner 703 E Marshall Ave Ste 4003, Longview, TX 75601 2015-07-28
1669882882 Snehal Shrivastava Internal Medicine 1402 N 4th St Ste 300, Longview, TX 75601 2014-04-28
1679824221 Jennifer Ruth Williams Occupational Therapist 110 E Tyler St, Longview, TX 75601 2012-09-23
1548525603 Candice Renee Ramos Social Worker 950 N Sixth St, Longview, TX 75601 2012-07-05
1497082747 Jarett S Harkness Pharmacist 511 E. Marshall Avenue, Longview, TX 75601 2009-11-06
1407086333 Udeme Ekpenyong Pediatrics 818 N. 4th St., Longview, TX 75601 2009-07-27
1386823359 Assisted Living Concepts Inc Assisted Living Facility 2104 Alpine Road, Longview, TX 75601 2007-10-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920247 Lisa Kalynn Sanders Nurse Practitioner 2128 Page Creek Trl, Longview, TX 75601-0007 2020-10-20
1265030993 Sarah Dawson Nurse Practitioner 2040 Eden Dr, Longview, TX 75601-3415 2020-10-14
1104455716 Carol Henry Nurse Practitioner 287 E Cliffwood St, Longview, TX 75603-7556 2020-04-06
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1649821901 Heather M Wilson Nurse Practitioner 2828 Bill Owens Pkwy Ste B, Longview, TX 75605-2102 2019-09-26
1942777826 Cami Jo Tice-harouff Nurse Practitioner 16 Ramblewood Dr, Longview, TX 75605-3351 2018-10-29
1346778685 Kyle Patrick Urbanek Nurse Practitioner 705 E Marshall Ave Ste 5000, Longview, TX 75601-5660 2017-05-31
1417481623 Cody Castle Nurse Practitioner 1103 Eden Dr, Longview, TX 75605-3114 2017-04-13
1134570856 Virginia Hardaway Nurse Practitioner 2953 Country Club Rd W, Longview, TX 75602-6861 2016-06-23
1275994824 Alto Behavioral Health Services Pllc Nurse Practitioner 827 Lansing Switch Rd, Longview, TX 75602-7102 2016-03-10
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Competitor

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City LONGVIEW
Zip Code 75601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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