Provider Demographics
NPI:1679992085
Name:HILL ELLIOTT, KRISTIAN MICHELLE (NP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIAN
Middle Name:MICHELLE
Last Name:HILL ELLIOTT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KRISTIAN
Other - Middle Name:MICHELLE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:300 HOSPITAL CIR STE 103
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-4597
Mailing Address - Country:US
Mailing Address - Phone:731-644-8225
Mailing Address - Fax:
Practice Address - Street 1:300 HOSPITAL CIR STE 103
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4597
Practice Address - Country:US
Practice Address - Phone:731-644-8225
Practice Address - Fax:731-644-8228
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18394363L00000X, 363LF0000X
KY3016304363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner