Provider Demographics
NPI:1013167352
Name:NUNNALLY, CHRISTINA KENT (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:KENT
Last Name:NUNNALLY
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 KITCHENS CV
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663-6815
Mailing Address - Country:US
Mailing Address - Phone:662-837-2098
Mailing Address - Fax:
Practice Address - Street 1:1009 CITY AVE N STE C
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-1414
Practice Address - Country:US
Practice Address - Phone:662-837-2245
Practice Address - Fax:662-837-2246
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR870040363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily