| Doctor Name: | KIMBERLY SAPP |
| NPI Number: | 1104288513 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | |
| Business Practice Address: | 6051 Deercreek Ln Macclenny, FL - 320633719 |
| Business Phone Number: | 4056868847 |
| Business Fax Number: | |
| Mailing Address: | 6051 Deercreek Ln, MACCLENNY |
| State: | FL |
| Postal Code: | 320633719 |
| Phone Number: | 4056868847 |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2016 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |