Provider Demographics
NPI:1952670226
Name:WARD, CHRISTY L (FNP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:L
Last Name:WARD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 N CAVALIER DR
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TN
Mailing Address - Zip Code:38001-6468
Mailing Address - Country:US
Mailing Address - Phone:731-696-4500
Mailing Address - Fax:731-696-2152
Practice Address - Street 1:18 N CAVALIER DR
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TN
Practice Address - Zip Code:38001-6468
Practice Address - Country:US
Practice Address - Phone:731-784-5080
Practice Address - Fax:731-784-5271
Is Sole Proprietor?:No
Enumeration Date:2011-12-15
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN16350363LF0000X
TNAPN16350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNRN125182OtherSTATE NURSING LICENSE
TNAPN16350OtherSTATE LICENSE