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

Kimberly S Squires, FNP-C, PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1871735068

Kimberly S Squires, FNP-C, PMHNP-BC is a Family Nurse Practitioner in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

10320 Mallard Creek Rd Ste 240
Charlotte, NC 28262-9756
Phone: (704) 886-8703
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2014029878 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2008001301 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 218478 (NC)

Record details

NPI number1871735068
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C , PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 2, 2009
Last updated in NPPESJuly 22, 2016

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