Provider Demographics
NPI:1487683520
Name:KEMP, RHONDA (FNP)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1198
Mailing Address - Street 2:DEPT 03-007RC
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39181-1198
Mailing Address - Country:US
Mailing Address - Phone:601-883-4250
Mailing Address - Fax:601-883-4202
Practice Address - Street 1:2100 HIGHWAY 61 N
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39183-8211
Practice Address - Country:US
Practice Address - Phone:601-883-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR703206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily