Provider Demographics
NPI:1346987591
Name:KNIGHT, KRISTIN SUZANNE (CRNP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:SUZANNE
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2895
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35056-2895
Mailing Address - Country:US
Mailing Address - Phone:256-903-0300
Mailing Address - Fax:256-801-7893
Practice Address - Street 1:1890 AL HIGHWAY 157 STE 102
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0689
Practice Address - Country:US
Practice Address - Phone:256-737-2000
Practice Address - Fax:256-737-2005
Is Sole Proprietor?:No
Enumeration Date:2022-05-18
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-136061363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care