Provider Demographics
NPI:1588308100
Name:HESSON, KIRSTEN (NP)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:HESSON
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 23RD AVE N STE 350
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1650
Mailing Address - Country:US
Mailing Address - Phone:615-277-2300
Mailing Address - Fax:615-320-1849
Practice Address - Street 1:330 23RD AVE N STE 350
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1650
Practice Address - Country:US
Practice Address - Phone:615-277-2300
Practice Address - Fax:615-320-1849
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-21
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37774363LP0200X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric SurgeryGroup - Single Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty