Kimberly Natashia Mickens
Kimberly Natashia Mickens is a Licensed Practical Nurse in Washington, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2023
- Specialties on file
- 6
Practice location Address checks out
275A Thomson RdWashington, GA 30673-4313
Phone: (706) 338-8350
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X · Licence LPN099093 (GA) |
|---|---|
| Licensed Practical Nurse | Taxonomy 164W00000X · Licence LPN099093 (GA) |
| Home Health Agency | Taxonomy 251E00000X · Licence LPN099093 (GA) |
| Nursing Care Agency | Taxonomy 251J00000X · Licence LPN099093 (GA) |
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X · Licence LPN099093 (GA) |
| Child Intellectual and/or Developmental Disabilities Respite Care | Taxonomy 385HR2060X · Licence LPN099093 (GA) |
Record details
| NPI number | 1477334415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 6, 2023 |
| Last updated in NPPES | October 6, 2023 |
| Certification date | October 5, 2023 |