Individual
KRISTINA LYNN HUCKEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5302 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 541-6958
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000187933
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000029787
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068411
—
TN
Enumeration date
07/13/2020
Last updated
03/01/2024
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