# CHRISTINA JACKLYN KIRCHEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134865561
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 2295279 | MN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 229527 | MN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 9380 | MN | Yes |

## Other

- **Enumeration date:** 05/09/2022
- **Last updated:** 08/09/2022