Jacquelyn Delois Kimball, MSN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APN0000010667 Issued in TN

Practice address

1056 E Raines Rd
Memphis, TN 38116-6337

Phone

(901) 271-4900

Fax

(901) 271-4911

NPI assigned

Jun 27, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902802556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BURWOOD DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381096755",
            "telephone_number": "901-789-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E RAINES RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166337",
            "telephone_number": "901-271-4900",
            "fax_number": "901-271-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JACQUELYN",
        "middle_name": "DELOIS",
        "name_prefix": "Ms.",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000010667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kim, APRN PMHNP
• Daniel Kim, PHARMD
• Grace Kim, DDS
• Jin-Yon Jeany Kim, MD
• Seunghyun Kim, M.D.
• Alisha Kimber, FNP
• Amari Jarvien Kimble, DC
• Amy Cone Kimble, NP-C
• Lottie M. Kimble, RN
• Sandra D Kimble, M.ED.

• Primary Care Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.