Jo Ann Kimble-Hahn, FNP, MSN
Individual provider Active NPI Family Nurse Practitioner · Mt Pleasant, NC
NPI 1245299783 · NPPES record last updated May 18, 2015
Key facts
- NPI
- 1245299783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 201239 (NC)
- Practice address
- 3000 Hahn Scott Rd
Mt Pleasant, NC 28124-9361 - Phone
- (704) 436-8378
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147795 | NC | MD | Family Nurse Practitioner |
| 201239 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanly Medical Services | Past | Accepting new patients | |
| Paradigm Health Psychiatric SRV, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201239 | NC | Yes |
| Family Nurse Practitioner | 363LF0000X | 147795 | NC |
Addresses
Primary practice location
3000 Hahn Scott Rd
Mt Pleasant, NC 28124-9361
Mailing address
3000 Hahn Scott Rd
Mt Pleasant, NC 28124-9361
Phone (704) 436-8378
Other providers in Mt Pleasant, NC
- Shannon Habba
- Andrew Hnat
- Hope Harbor FCH LLC
- Nimit Jindal
- Rachel Kestin
- Jade Kimble
- Kristy Kirk
- Jacob Kozecke
- Robert Aaron Lambert
- Ethan Jeremy Ledbetter
All providers in Mt Pleasant, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.