Provider Demographics
NPI:1700255916
Name:ARMSTRONG, KATHRYN (FNP)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:ARMSTRONG
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 1:106 W MAIN ST
Mailing Address - Street 2:P O BOX 470
Mailing Address - City:LOUISVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39339-2620
Mailing Address - Country:US
Mailing Address - Phone:662-446-1972
Mailing Address - Fax:662-446-1039
Practice Address - Street 1:106 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:MS
Practice Address - Zip Code:39339-2620
Practice Address - Country:US
Practice Address - Phone:662-446-1972
Practice Address - Fax:662-446-1039
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR897736363LF0000X
AL0024172925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily