Provider Demographics
NPI:1669817631
Name:HAND, KRISTI LASHUN (NP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:LASHUN
Last Name:HAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:KRISTI
Other - Middle Name:LASHUN
Other - Last Name:DENNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8390 CHAMPIONS GATE BLVD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8310
Mailing Address - Country:US
Mailing Address - Phone:407-390-1677
Mailing Address - Fax:407-390-1765
Practice Address - Street 1:770 GRIESON TRAIL
Practice Address - Street 2:SUITE H
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-6408
Practice Address - Country:US
Practice Address - Phone:770-252-5420
Practice Address - Fax:770-252-5421
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily