Kimberly Vickery Phillips
NP | Nurse Practitioner | 8+ years Exp
11512 Lake Mead Ave Unit 536, Jacksonville
Florida, 32256-9733
904-222-6103
Kimberly Vickery Phillips is a Jacksonville, Florida based nurse practitioner with 8 years of experience in . She completed her graduation from University Of Tennessee, Hsc, College Of Medicine in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kimberly Vickery Phillips is 11021946 for Family in Florida. Her current practice location is 11512 Lake Mead Ave Unit 536, Jacksonville. Patients can reach her at 904-222-6103. Kimberly Vickery Phillips is NP and her NPI number (Unique professional ID assigned by NPPES) is 1275037186.
Kimberly Vickery Phillips has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kimberly Vickery Phillips speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kimberly Vickery Phillips |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 8+ years |
| Medical School Attended: | University Of Tennessee, Hsc, College Of Medicine |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 11512 Lake Mead Ave Unit 536, Jacksonville,
Florida, 32256-9733 |
| Phone: | 904-222-6103 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9739431628 |
| Enrollment ID: | I20181003002697 |
| NPI Number: | 1275037186 |
| NPI Enumeration Date: | 23 Mar, 2018 |
| NPI Last Update On: | 31 Dec, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Vickery Phillips are as mentioned below.
| License Number | Specialization | State | Status | |
| 11021946 | Family | Florida | Primary | |
| RN266565 | Nurse Practitioner | Georgia | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kimberly Vickery Phillips is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Piedmont Specialty Hospital Billing (4183986490) | 159 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kimberly Vickery Phillips
15280 Nw 79th Ct Ste 200,
Miami Lakes, Florida |
| Zip: | 33016-5873 |
| Phone Number: | 305-558-3724 |
| Fax Number: | 786-907-4485 |
Patients can reach Kimberly Vickery Phillips at
11512 Lake Mead Ave Unit 536, Jacksonville, Florida or can
call to book an appointment on 904-222-6103.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.