Provider Demographics
NPI:1609350305
Name:MITCHELL, KRISTINA JOYCE (APRN-C)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:JOYCE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:APRN-C
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:JOYCE
Other - Last Name:SILVERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5300 NW VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-2351
Mailing Address - Country:US
Mailing Address - Phone:816-878-8316
Mailing Address - Fax:
Practice Address - Street 1:2464 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2718
Practice Address - Country:US
Practice Address - Phone:816-235-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018033941363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily