| Doctor Name: | KRISTINA TIMMONS |
| NPI Number: | 1285050062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 201401378NP-PP |
| Business Practice Address: | 52726 Ammon Rd La Pine, OR - 977397659 |
| Business Phone Number: | 5415363435 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3300, 51600 Huntington Rd LA PINE |
| State: | OR |
| Postal Code: | 977390974 |
| Phone Number: | 5415363435 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2014 |
| NPI Last Update Date: | 02/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 201401378NP-PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |