Provider Demographics
NPI:1275866261
Name:REECE, KRISTI LYNN (MSN FNP-BC, CRNP)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNN
Last Name:REECE
Suffix:
Gender:F
Credentials:MSN FNP-BC, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 CIRCULAR RD
Mailing Address - Street 2:UNA BOX 5009
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35632-0001
Mailing Address - Country:US
Mailing Address - Phone:256-765-4328
Mailing Address - Fax:256-765-4815
Practice Address - Street 1:501 CIRCULAR RD
Practice Address - Street 2:UNA BOX 5009
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35632-0001
Practice Address - Country:US
Practice Address - Phone:256-765-4328
Practice Address - Fax:256-765-4815
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-085342363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner