Kristy Anne Merritt, RN BSN CDE
Registered Nurse, Diabetes Educator in Germantown, TN. Individual provider (NPI-1).
NPI number1699263129
StatusActive
Last updated in NPPESApr 30, 2018
Details
- NPI
- 1699263129
- Entity type
- Individual (NPI-1)
- Name
- Miss Kristy Anne Merritt
- Credential
- RN BSN CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2018
- Last updated
- Apr 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 103631 | TN | Yes |
| 163WA2000X | Registered Nurse, Administrator | 103631 | TN | |
| 405300000X | Prevention Professional | 20720236 | TN |
Practice location
7705 Poplar Ave Ste 150Germantown, TN 38138-3930
Phone 901-516-6616 · Fax 901-516-6379
Mailing address
7705 Poplar Ave Ste 150Germantown, TN 38138-3930
Phone 901-516-6616 · Fax 901-516-6379
Other practice locations
1265 Union Ave
Memphis, TN 38104-3415
Memphis, TN 38104-3415
Phone 901-516-6616
3960 New Covington Pike
Memphis, TN 38128-2504
Memphis, TN 38128-2504
Phone 901-516-6616
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