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NPI Code Detail

MEDICARE: DR. KIMBERLY D. CLIPP NNP-BC

MEDICARE:  DR. KIMBERLY D. CLIPP  NNP-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
1363LN0000XNeonatal Nurse Practitioner313206AZ
2363LN0000XNeonatal Nurse Practitioner571409TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28Y0767OTHERTXBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265432652
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY D. CLIPP NNP-BC
Provider Business Mailing Address
First Line : PO BOX 660599
Second Line :
City : DALLAS
State : TX
Zip : 75266-0599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6200 N LA CHOLLA BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85741-3529
Country : US
Telephone Number : 520-742-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 02/20/2026

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Directions to “ DR. KIMBERLY D. CLIPP NNP-BC” Practice Location

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