Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Nicole Patrick

Individual provider Community Health Registered Nurse · NPI 1639685639

Kimberly Nicole Patrick is a Community Health Registered Nurse in Petal, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017
Specialties on file
2

Practice location Address checks out

15 Sunline Dr
Petal, MS 39465-9029
Phone: (601) 325-1107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 334167 (MS)
Community Health Registered Nurse Taxonomy 163WC1500X · Licence 931616 (MS)

Record details

NPI number1639685639
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2017
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025