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Contact Information

KIMBALL J SARGENT, MSN, PMHCNS-BC
7155 SUNSET LAKE RD
FUQUAY VARINA, NC27526-8638
 Phone: 919-838-0804
 Fax: 919-838-1219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Mental Health

101YM0800X
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KIMBALL J SARGENT · (Female)

NPI # 1174570808
Status Active
Credentials MSN, PMHCNS-BC
Entity Individual
Enumeration date 05/28/2006
Last updated 01/13/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 0261495-01
  • NC License # 080028
  • NC Medicaid 6004025
  • NC Other 10079 BCBS PROVIDER #
  • NC Other 232289 COMPSYCH CORP. PROV #
  • NC Other C 2802004 UNITEDAMER.INS.CO. PROV #
  • NC Other 527619 VALUE OPTIONS MHS #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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