Provider Demographics
NPI:1154807261
Name:LOVETT, KIMBER L (APRN, NNP-BC)
Entity type:Individual
Prefix:
First Name:KIMBER
Middle Name:L
Last Name:LOVETT
Suffix:
Gender:F
Credentials:APRN, NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 E HIGHWAY 80 TRLR 79
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79706-4416
Mailing Address - Country:US
Mailing Address - Phone:432-889-2402
Mailing Address - Fax:
Practice Address - Street 1:3801 E HIGHWAY 80 TRLR 79
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79706-4416
Practice Address - Country:US
Practice Address - Phone:432-889-2402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-12
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX811463163W00000X
TX1129334363LN0005X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163W00000XNursing Service ProvidersRegistered Nurse
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care