Provider Demographics
NPI:1497892186
Name:REED, KRISTY L (APN, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:L
Last Name:REED
Suffix:
Gender:F
Credentials:APN, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 DUNBAR CAVE RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-2100
Mailing Address - Country:US
Mailing Address - Phone:931-259-4631
Mailing Address - Fax:931-272-0511
Practice Address - Street 1:1521 DUNBAR CAVE RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-2100
Practice Address - Country:US
Practice Address - Phone:931-259-4631
Practice Address - Fax:931-272-0511
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13046363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health