| Doctor Name: | NAKECIA DUNGAN KINABREW |
| NPI Number: | 1386897635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | R856047 |
| Business Practice Address: | 1842 Simpson Highway 149 Mendenhall, MS - 391143438 |
| Business Phone Number: | 6018472221 |
| Business Fax Number: | |
| Mailing Address: | 131 Ellis Dear Rd, HARRISVILLE |
| State: | MS |
| Postal Code: | 390824036 |
| Phone Number: | 6018450680 |
| Fax Number: | |
| NPI Enumeration Date: | 10/30/2008 |
| NPI Last Update Date: | 10/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R856047 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |