Kim Fredricks, PMHNP-BC
Kim Fredricks, PMHNP-BC is a Neurodevelopmental Disabilities Physician in Ormond Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2026
- Specialties on file
- 5
What do these letters mean?
- PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
- A board-certified psychiatric nurse practitioner.
Practice location Address checks out
1200 W Granada Blvd Ste 4Ormond Beach, FL 32174-8157
Phone: (386) 983-4147
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavioral Neurology & Neuropsychiatry Physician (primary) | Taxonomy 2084B0040X · Licence RN9508898 (FL) |
|---|---|
| Neurodevelopmental Disabilities Physician | Taxonomy 2084P0005X · Licence RN9508898 (FL) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence RN9508898 (FL) |
| Addiction Psychiatry Physician | Taxonomy 2084P0802X · Licence RN9508898 (FL) |
| Geriatric Psychiatry Physician | Taxonomy 2084P0805X · Licence RN9508898 (FL) |
Record details
| NPI number | 1104749068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | July 30, 2026 |
| Last updated in NPPES | July 30, 2026 |
| Certification date | July 30, 2026 |
| Mailing address | 1200 W Granada Blvd Ste 4, Ormond Beach, FL 32174-8157 |