Provider Demographics
NPI:1669090676
Name:JAMES, KRISTEN FAITH (CRNP)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:FAITH
Last Name:JAMES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:FAITH
Other - Last Name:MELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11348 HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-2702
Mailing Address - Country:US
Mailing Address - Phone:256-764-6087
Mailing Address - Fax:256-764-6089
Practice Address - Street 1:11348 HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-2702
Practice Address - Country:US
Practice Address - Phone:256-764-6087
Practice Address - Fax:256-764-6089
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-14489363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily