| Doctor Name: | KIMBERLY DIANE NANCE |
| NPI Number: | 1174685465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC, FNP |
| License Number: | A01937 |
| Business Practice Address: | 1706 Highway 71 N Mena, AR - 719538917 |
| Business Phone Number: | 4793944800 |
| Business Fax Number: | 4793944805 |
| Mailing Address: | 1706 Highway 71 N, MENA |
| State: | AR |
| Postal Code: | 719538917 |
| Phone Number: | 4793944800 |
| Fax Number: | 4793944805 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 02/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01937 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |