Individual
CHRISTIAN REESE NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3801 SCOTT AND WHITE DR, KILLEEN, TX 76543-5252
(254) 680-1100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1176237
TX
363LP0200X
Pediatric Nurse Practitioner
236616
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089242
—
AZ
Enumeration date
10/29/2020
Last updated
02/24/2025
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