Provider Demographics
NPI:1073017521
Name:COMBS, KRISTINA M (FNP)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:M
Last Name:COMBS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 HIGHWAY 71 N
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:AR
Mailing Address - Zip Code:72921-5114
Mailing Address - Country:US
Mailing Address - Phone:479-632-6688
Mailing Address - Fax:479-632-0055
Practice Address - Street 1:825 HIGHWAY 71 N
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-5114
Practice Address - Country:US
Practice Address - Phone:479-632-6688
Practice Address - Fax:479-632-0055
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA005509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR231606758Medicaid