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

Kimberly Ann Tyner, NP-C

Individual provider Family Nurse Practitioner · NPI 1922469063

Kimberly Ann Tyner, NP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2014, 12 years ago. Practices with Premier Pain Care, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2016
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

514 E Woodrow Wilson Ave Ste F
Jackson, MS 39216-4538
Phone: (601) 982-3132
Fax: (601) 982-3136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R824497 (MS)

Record details

NPI number1922469063
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 17, 2016
Last updated in NPPESSeptember 12, 2019
Mailing address1824 August Bnd, Madison, MS 39110-6825

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 Premier Pain Care, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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