Provider Demographics
NPI:1548520323
Name:JONES, KIMBERLY COLBURN (CRNP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:COLBURN
Last Name:JONES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:MICHELLE
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:750 5TH AVE E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-7421
Mailing Address - Country:US
Mailing Address - Phone:205-348-6601
Mailing Address - Fax:205-348-4121
Practice Address - Street 1:750 5TH AVE E
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-7421
Practice Address - Country:US
Practice Address - Phone:205-348-6601
Practice Address - Fax:205-348-4121
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-11684363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily