Doctor Name: | KRISTY DENISE MCPHERSON |
NPI Number: | 1659729416 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 21103 |
Business Practice Address: | 1 Rock Crest Dr Signal Mountain, TN - 373772301 |
Business Phone Number: | 4235216979 |
Business Fax Number: | 4235216979 |
Mailing Address: | 1 Rock Crest Dr, SIGNAL MOUNTAIN |
State: | TN |
Postal Code: | 373772301 |
Phone Number: | 4235216979 |
Fax Number: | 4235216979 |
NPI Enumeration Date: | 06/01/2016 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 21103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |