Provider Demographics
NPI:1033323159
Name:KIRKLAND, CATHERINE MCCRACKEN (NP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MCCRACKEN
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:FARISS
Other - Last Name:MCCRACKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2801 CHARLOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4035
Mailing Address - Country:US
Mailing Address - Phone:615-250-9308
Mailing Address - Fax:615-250-9251
Practice Address - Street 1:395 WALLACE RD.
Practice Address - Street 2:SUITE 206B
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-331-8281
Practice Address - Fax:615-331-3043
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN12608363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
3341367Medicare PIN