Provider Demographics
NPI:1932954708
Name:ADAMS, KRISTEN LINDSAY (BSN, RN-C)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:LINDSAY
Last Name:ADAMS
Suffix:
Gender:F
Credentials:BSN, RN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 WILSON AVE
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-3264
Mailing Address - Country:US
Mailing Address - Phone:931-455-9369
Mailing Address - Fax:
Practice Address - Street 1:615 WILSON AVE
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-3264
Practice Address - Country:US
Practice Address - Phone:931-455-9636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN166995163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse