Individual
MISS KRISTY ANNE MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN CDE
Contact information
Practice address
7705 POPLAR AVE STE 150, GERMANTOWN, TN 38138-3930
(901) 516-6616
(901) 516-6379
Mailing address
7705 POPLAR AVE STE 150, GERMANTOWN, TN 38138-3930
(901) 516-6616
(901) 516-6379
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
103631
TN
163WD0400X
Diabetes Educator Registered Nurse
Primary
103631
TN
405300000X
Prevention Professional
20720236
TN
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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