Provider Demographics
NPI:1568174308
Name:WILLHITE, KRISTINA LAUREN MARIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:LAUREN MARIE
Last Name:WILLHITE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:LAUREN MARIE
Other - Last Name:ZITA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1013 STRATUS DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-7903
Mailing Address - Country:US
Mailing Address - Phone:256-656-6632
Mailing Address - Fax:
Practice Address - Street 1:2658 NEW SALEM HWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-5261
Practice Address - Country:US
Practice Address - Phone:615-867-8001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN.363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily