Provider Demographics
NPI:1811562333
Name:FINK, KRISTA (NP)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:FINK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13013 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-0924
Mailing Address - Country:US
Mailing Address - Phone:865-263-8374
Mailing Address - Fax:865-263-8375
Practice Address - Street 1:13013 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-0924
Practice Address - Country:US
Practice Address - Phone:865-263-8374
Practice Address - Fax:865-263-8375
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN39932363L00000X
TN34689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner