Provider Demographics
NPI:1508836560
Name:ELMORE, KRISTY (DNP)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:
Last Name:ELMORE
Suffix:
Gender:F
Credentials:DNP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-860-1772
Mailing Address - Fax:615-870-1070
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE 400
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-860-1772
Practice Address - Fax:615-870-1070
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2023-08-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN8216363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3640771Medicare PIN