Krystle McCullough, MSN, APRN, FNP-C
Nurse Practitioner, Family in Knoxville, TN. Individual provider (NPI-1).
NPI number1417536582
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1417536582
- Entity type
- Individual (NPI-1)
- Name
- Krystle McCullough
- Credential
- MSN, APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2021
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 29033 | TN | Yes |
Practice location
103 Midlake DrKnoxville, TN 37918-3002
Phone 865-687-7704
Mailing address
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747 · Fax 833-908-0998
Other practice locations
3118 Alcoa Hwy
Knoxville, TN 37920-4791
Knoxville, TN 37920-4791
Phone 865-314-7125
2575 Willow Point Way Ste 101
Knoxville, TN 37931-3163
Knoxville, TN 37931-3163
Phone 865-313-2160
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