Provider Demographics
NPI:1851506976
Name:LESTER, CHRISTINE RANEY (APRN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:RANEY
Last Name:LESTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 E BRANDON BLVD STE 4567
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5509
Mailing Address - Country:US
Mailing Address - Phone:201-474-5844
Mailing Address - Fax:
Practice Address - Street 1:6223 HIGHLAND PLACE WAY STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-4035
Practice Address - Country:US
Practice Address - Phone:865-801-3678
Practice Address - Fax:866-570-5110
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11720363LA2200X
TN2005002820-21363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4201604OtherBLUE CROSS BLUE SHIELD
TN1510850Medicaid
TN1851506976OtherNPI
TN1851506976OtherNPI