Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. JACQUELYN DELOIS KIMBALL MSN
NPI 1902802556
Nurse Practitioner - Primary Care in Memphis, TN

Active since June 27, 2005
1056 E RAINES RD, MEMPHIS, TN 38116(901) 271-4900(901) 271-4911 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jacquelyn Delois Kimball Msn NPPES

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

MS. JACQUELYN DELOIS KIMBALL MSN (NPI 1902802556) is an individual primary care provider in Memphis, Tennessee, licensed in Tennessee (APN0000010667) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1902802556
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. JACQUELYN DELOIS KIMBALLCredential: MSN
Location Address1056 E RAINES RDMemphis, TN 38116-6337
Mailing Address244 Burwood DrMemphis, TN 38109-6755 · (901) 789-3137
Fax(901) 271-4911
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1902802556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TN · APN0000010667
1056 E RAINES RD, Memphis, TN 38116

Other Providers at the Same Location NPPES 20

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

Pharmacist
1056 E RAINES RD
MEMPHIS, TN 38116
Registered Nurse
1056 E RAINES RD
MEMPHIS, TN 38116
Family Medicine
1056 E RAINES RD
MEMPHIS, TN 38116
Podiatrist (Foot & Ankle Surgery)
1056 E RAINES RD
MEMPHIS, TN 38116
Dietitian, Registered
1056 E RAINES RD
MEMPHIS, TN 38116
Internal Medicine
1056 E RAINES RD
MEMPHIS, TN 38116
Internal Medicine
1056 E RAINES RD
MEMPHIS, TN 38116
Nurse Practitioner
1056 E RAINES RD
MEMPHIS, TN 38116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Kimball's NPI number?

The NPI number for Jacquelyn Kimball is 1902802556. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Jacquelyn Kimball located?

Jacquelyn Kimball practices at 1056 E Raines Rd, Memphis, TN 38116. The listed phone number is (901) 271-4900.

What is Jacquelyn Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Kimball was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.