Individual
KRISTIN KATHLEEN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
8316 MACON TER STE 103, CORDOVA, TN 38018-8505
(901) 791-2892
(901) 791-4872
Mailing address
8316 MACON TER STE 103, CORDOVA, TN 38018-8505
(901) 791-2892
(901) 791-4872
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21943
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025599
—
TN
Enumeration date
10/13/2016
Last updated
03/04/2024
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