Individual
CHRISTY MARIE TENNISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2950 S ALL HALLOWS ST, WICHITA, KS 67217-1053
(316) 323-1400
(833) 974-3860
Mailing address
2950 S ALL HALLOWS ST, WICHITA, KS 67217-1053
(316) 323-1400
(833) 974-3860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76648
KS
363LF0000X
Family Nurse Practitioner
85300
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201108420A
—
KS
Enumeration date
01/13/2015
Last updated
04/01/2026
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