Provider Demographics
NPI:1215812755
Name:KIMBLE, NKIRUKA HELEN (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:NKIRUKA
Middle Name:HELEN
Last Name:KIMBLE
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 SKILLMAN ST # 330
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-8261
Mailing Address - Country:US
Mailing Address - Phone:469-463-3703
Mailing Address - Fax:
Practice Address - Street 1:9550 SKILLMAN ST # 330
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-8261
Practice Address - Country:US
Practice Address - Phone:469-463-3703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1091224363LP0808X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health