Provider Demographics
NPI:1639547227
Name:NESTER, KIM (FNP)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:NESTER
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 1:141 WESTMORELAND CT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2719
Mailing Address - Country:US
Mailing Address - Phone:434-489-9393
Mailing Address - Fax:
Practice Address - Street 1:949 PINEY FOREST RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1591
Practice Address - Country:US
Practice Address - Phone:434-835-4876
Practice Address - Fax:434-835-4876
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-13
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCF0915387363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner