MRS. Kimberlie La'tasha Mabry, FNP-C
NPI #1891422853 in Gautier, Mississippi
Provider Information
- NPI Number
- 1891422853
- Entity Type
- Individual
- Name
- MRS. Kimberlie La'tasha Mabry, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- FNP-C
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Jul 18, 2023
Practice Location
- Address
- 1509 WILLOWBEND DR
- City
- Gautier
- State
- Mississippi
- ZIP Code
- 39553-7627
- Phone
- (228) 627-1223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Family Medicine |
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Organizations
| Provider Name | |
|---|---|
| Preventative Medicine & Primary Care LLC |
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