Healthcare Provider Details

I. General information

NPI: 1699603068
Provider Name (Legal Business Name): KIMBERLY HEWLING APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KIMBERLY FORREST-HEWLING

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 NOB HILL CIR
LONGWOOD FL
32779-4430
US

IV. Provider business mailing address

209 NOB HILL CIR
LONGWOOD FL
32779-4430
US

V. Phone/Fax

Practice location:
  • Phone: 689-338-5507
  • Fax:
Mailing address:
  • Phone: 689-338-5507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11044614
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: