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NPI Code Detail

MEDICARE: MRS. KIMBERLY A MAY APRN-CNP

MEDICARE: MRS. KIMBERLY A MAY APRN-CNP
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
1363LF0000XFamily Nurse Practitioner224414LA

General Provider Information

NPI Number : 1396492757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY A MAY APRN-CNP
Provider Business Mailing Address
First Line : 2150 GENERAL PERSHING ST
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-5125
Country : US
Telephone Number : 985-951-4716
Fax Number : 985-951-4706
Provider Business Practice Location Address
First Line : 2150 GENERAL PERSHING ST
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-5125
Country : US
Telephone Number : 985-951-4716
Fax Number : 985-951-4706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2022
Last Update Date : 03/24/2026

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