Provider Demographics
NPI:1154835478
Name:KRASNOW, KAYLI (FNP-C)
Entity Type:Individual
Prefix:
First Name:KAYLI
Middle Name:
Last Name:KRASNOW
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 21ST AVE SOUTH
Mailing Address - Street 2:SUITE 907, OXFORD HOUSE
Mailing Address - City:NASHVILE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-4753
Mailing Address - Country:US
Mailing Address - Phone:615-936-3500
Mailing Address - Fax:
Practice Address - Street 1:1313 21ST AVE S STE 907
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-936-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty