Provider Demographics
NPI:1255173217
Name:HASTINGS, NITA KATHERINE (FNP)
Entity type:Individual
Prefix:
First Name:NITA
Middle Name:KATHERINE
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E. LOCUS ST.
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:TN
Mailing Address - Zip Code:38225
Mailing Address - Country:US
Mailing Address - Phone:731-364-3196
Mailing Address - Fax:
Practice Address - Street 1:130 E. LOCUS ST.
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:TN
Practice Address - Zip Code:38225
Practice Address - Country:US
Practice Address - Phone:731-364-3196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily