Individual
KRISTI MICHELLE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
212 PHOENIX CT STE 1, SEYMOUR, TN 37865-3908
(865) 577-6475
(865) 577-7942
Mailing address
212 PHOENIX CT STE 1, SEYMOUR, TN 37865-3908
(865) 577-6475
(865) 577-7942
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
PENDING
TN
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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