Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639685639 Individual Practitioner Female Practitioner

Kimberly Nicole Patrick

Licensed Practical Nurse • Petal, MS

Professional Overview & Biography Verified Profile Summary

Kimberly Patrick is a registered healthcare professional specializing in Licensed Practical Nurse in Petal, MS. Practice services are available at 15 SUNLINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Sunline Dr

Petal, MS 394659029

Telephone 6013251107

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Petal, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Petal, MS (263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-28
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MS 334167

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Registered Nurse - Community Health

NUCC Taxonomy Code: 163WC1500X

State License MS 931616

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 28, 2025

Registered at 15 SUNLINE DR, PETAL, MS 394659029 (Tel: 6013251107)

👤
Provider Name / Credentials Updated May 28, 2025

Recorded as KIMBERLY PATRICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2025

Registered Nurse (License #931616 in MS)

NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2017

Registered at 635 HAMPSHIRE DR, BRANDON, MS 390477797 (Tel: 6013251107)

📍
Updated Business Mailing Address December 28, 2017

Registered at 635 HAMPSHIRE DR, BRANDON, MS 390477797 (Tel: 6013251107)

👤
Provider Name / Credentials Updated December 28, 2017

Recorded as KIMBERLY TAYLOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Licensed Practical Nurse (License #334167 in MS)

🟢
Initial NPI Registration & Enumeration December 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639685639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2017
Last Update: May 28, 2025
Sole Proprietor: Yes

Mailing Address

635 Hampshire Dr

Brandon, MS 390477797

Phone: 6013251107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.