Provider Demographics
NPI:1952855710
Name:PATTON, CHRISTA (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 BUSINESS PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3132
Mailing Address - Country:US
Mailing Address - Phone:615-851-6033
Mailing Address - Fax:615-851-2018
Practice Address - Street 1:300 20TH AVE N STE 302
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2179
Practice Address - Country:US
Practice Address - Phone:615-284-2988
Practice Address - Fax:615-284-2995
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21516363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6083780OtherBCBS TN
TNQ025155Medicaid
KY7100450250Medicaid
TNQ025155Medicaid