Provider Demographics
NPI:1518645241
Name:PARKHURST, KRISTINE NICHOLE (NNP-BC)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:NICHOLE
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:NICHOLE
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1316 NORFOLK DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-2005
Mailing Address - Country:US
Mailing Address - Phone:816-803-4045
Mailing Address - Fax:
Practice Address - Street 1:11600 COLLEGE BLVD STE 201
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2786
Practice Address - Country:US
Practice Address - Phone:913-310-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTMP-161843363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal