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

Kimberly Nicole Patrick

Individual provider Community Health Registered Nurse · NPI 1639685639

Kimberly Nicole Patrick is a Community Health Registered Nurse in Petal, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017
Specialties on file
2

Practice location Address checks out

15 Sunline Dr
Petal, MS 39465-9029
Phone: (601) 325-1107
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 334167 (MS)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 931616 (MS)

Record details

NPI number1639685639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2017
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address635 Hampshire Dr, Brandon, MS 39047-7797