Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly A Jividen, CNP

Individual provider Family Nurse Practitioner · NPI 1205242369

Kimberly A Jividen, CNP is a Nurse Practitioner in Elizabeth, West Virginia. Qualified in 2014, 12 years ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group and accepts Medicare assignment. Licensed in Ohio and West Virginia.

Years since qualifying
12
Licensed in
OH, WV
In the registry since
2014
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

483 Court St
Elizabeth, WV 26143-1109
Phone: (304) 275-3301
Fax: (304) 275-4798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence COA.16207-NP (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 58709 (WV)
Registered Nurse Taxonomy 163W00000X · Licence RN298807 (OH)

Record details

NPI number1205242369
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJuly 9, 2014
Last updated in NPPESMay 1, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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