Kristy Laura Vandergriff, APRN
Nurse Practitioner, Family in Callahan, FL. Individual provider (NPI-1).
NPI number1699298372
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1699298372
- Entity type
- Individual (NPI-1)
- Name
- Kristy Laura Vandergriff
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2017
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 9419429 | FL | Yes |
| 363L00000X | Nurse Practitioner | 112224 | NE |
Practice location
542325 Us Highway 1Callahan, FL 32011-6496
Phone 904-879-4233
Mailing address
542325 Us Highway 1Callahan, FL 32011-6496
Phone 904-879-4233
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All 15 Family Nurse Practitioner providers in Callahan · All 130 providers in Callahan
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