KIMBERLY TILLMAN FAULK AGACNP-BC NPI 1467053629

NPI Information

NPI: 1467053629
Provider Name: KIMBERLY TILLMAN FAULK, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
2415 PARKWOOD DR
BRUNSWICK, GA
ZIP 31520
Phone: (124) 667-1889
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Kimberly Tillman Faulk, AGACNP-BC is an acute care nurse practitioner in Brunswick, GA. Kimberly Tillman Faulk, AGACNP-BC NPI is 1467053629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2415 PARKWOOD DR
BRUNSWICK, GA
ZIP 31520-722
Phone: (124) 667-1889
Fax: (912) 466-7185

The NPI 1467053629 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2020 and was last updated on 1/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	244612	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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