Individual
KRISTY LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 331-2863
Mailing address
1915 WHITE AVE, KNOXVILLE, TN 37916-2300
(865) 331-2863
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201804478NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
35758
TN
363LF0000X
Family Nurse Practitioner
201804478NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201804478NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500749339
—
OR
05
—
Q091175
—
TN
Enumeration date
06/12/2018
Last updated
04/30/2024
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