Individual
KRISTA PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
641 E COMMERCE ST, LEWISBURG, TN 37091-2816
(931) 359-4555
(931) 359-0105
Mailing address
128 WESTWICK CT, MURFREESBORO, TN 37128-2502
(615) 788-6239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4185
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/22/2020
Last updated
01/27/2021
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