# KRISTIN N KIERNAN APRN PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023899309
- **Authorized official:** KRISTIN N KIERNAN PMHNP-BC (NP)
- **Authorized official phone:** (870) 403-8287

## Contact information

- **Practice address:** 3348 MAIN ST STE 100, BRYANT, AR 72022-5013
- **Practice address phone:** (501) 443-3818
- **Practice address fax:** (501) 521-1001
- **Mailing address:** 655 DEER VALLEY DR, MALVERN, AR 72104-9240
- **Mailing address phone:** (870) 403-8287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 07/31/2024