KIMBERLY NICHOLE PHILLIPS FNP-C
NPI 1184456162
Nurse Practitioner - Family in Vidalia, GA

Q: What is Kimberly Phillips's NPI number?

The NPI number for Kimberly Phillips is 1184456162. It was assigned to this individual provider in the NPPES registry on August 17, 2024. The provider is also known as N/A N/A Lairsey Lpn, Rn.

Q: What is Kimberly Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Phillips was last updated on August 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 17, 2024

303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474(912) 537-9355(912) 335-4804 Get Directions Write a Review

NPPES record last updated: August 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Nichole Phillips Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY NICHOLE PHILLIPS FNP-C (NPI 1184456162) is an individual family provider in Vidalia, Georgia, licensed in Georgia (RN236247) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1184456162

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY NICHOLE PHILLIPSCredential: FNP-C

Location Address303 HARRIS INDUSTRIAL BLVD STE 3Vidalia, GA 30474-8854

Mailing Address998 Johnson Corner RdLyons, GA 30436-4810 · (912) 253-0211

Phone(912) 537-9355

Fax(912) 335-4804

Sole ProprietorNo

Enumeration DateAugust 17, 2024

NPPES CertifiedAugust 17, 2024

✔ NPI 1184456162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN236247

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN236247 (GA)

303 HARRIS INDUSTRIAL BLVD STE 3, Vidalia, GA 30474

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Other Names 1

Former Name (1)N/a N/a Lairsey Lpn, Rn

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSI ERICA WOODS

Nurse Practitioner (Family)