Provider Demographics
NPI:1285381202
Name:GARRISON, KRISTY ABEGAIL (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:ABEGAIL
Last Name:GARRISON
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 CITY BANK PKWY STE 35
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3545
Mailing Address - Country:US
Mailing Address - Phone:806-785-0872
Mailing Address - Fax:806-761-0872
Practice Address - Street 1:7501 QUAKER AVE FL 1
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-3367
Practice Address - Country:US
Practice Address - Phone:806-788-3306
Practice Address - Fax:806-722-3861
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1072305363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily