Provider Demographics
NPI:1316518442
Name:MURPHY, KATHRYN SHELTON (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SHELTON
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 RYAN AVE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2754
Mailing Address - Country:US
Mailing Address - Phone:615-310-4477
Mailing Address - Fax:
Practice Address - Street 1:490 RYAN AVE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2754
Practice Address - Country:US
Practice Address - Phone:615-310-4477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29881363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health