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NPI Code Detail

MEDICARE: KIMBERLY LINGENFELDER PMHNP-BC

MEDICARE: KIMBERLY LINGENFELDER PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5014161NC
2164W00000XLicensed Practical Nurse788112TX
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP124211TX

General Provider Information

NPI Number : 1073943155
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LINGENFELDER PMHNP-BC
Provider Business Mailing Address
First Line : 806 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5312
Country : US
Telephone Number : 910-860-7008
Fax Number : 910-824-7593
Provider Business Practice Location Address
First Line : 806 HAY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5312
Country : US
Telephone Number : 910-860-7008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2013
Last Update Date : 05/04/2026

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Directions to “ KIMBERLY LINGENFELDER PMHNP-BC” Practice Location

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