Provider Demographics
NPI:1427890581
Name:COX, KRISTIAN NICOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:NICOLE
Last Name:COX
Suffix:
Gender:F
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 1:9700 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3340
Mailing Address - Country:US
Mailing Address - Phone:865-748-8337
Mailing Address - Fax:
Practice Address - Street 1:9700 KINGSTON PIKE STE 8
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3366
Practice Address - Country:US
Practice Address - Phone:865-919-3446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36428363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner