Provider Demographics
NPI:1821615451
Name:HARVEY, KIMBERLY WARREN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:WARREN
Last Name:HARVEY
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 1:147 CORE SOUND LOOP RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC
Mailing Address - State:NC
Mailing Address - Zip Code:28511-9753
Mailing Address - Country:US
Mailing Address - Phone:252-732-4701
Mailing Address - Fax:
Practice Address - Street 1:2818 NEUSE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2850
Practice Address - Country:US
Practice Address - Phone:252-636-4920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHARV-125FSL363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily