Provider Demographics
NPI:1770095168
Name:PARSONS, KRISTA LYNN (FNP)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:LYNN
Last Name:PARSONS
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:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:HAMMONDSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43930-0024
Mailing Address - Country:US
Mailing Address - Phone:330-532-1324
Mailing Address - Fax:
Practice Address - Street 1:4000 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2364
Practice Address - Country:US
Practice Address - Phone:740-264-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV72086163W00000X
OHRN.424751163W00000X
WVAPRN72086-FNP-BC363L00000X
OHAPRN.CNP.021914363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVAPRN72086-FNP-BCOtherWEST VIRGINIA BOARD OF NURSING
WV72086OtherWEST VIRGINIA BOARD OF NURSING
OHAPRN.CNP.021914OtherOHIO BOARD OF NURSING
OHRN.424751OtherOHIO BOARD OF NURSING