Kristen George, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

38079 Issued in TN

Practice address

104 Westside Dr Ste 4
Tullahoma, TN 37388-3253

Phone

(931) 993-2508

Fax

(877) 832-3242

NPI assigned

Dec 28, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristen George Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1073321691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 STONEBORO RD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373345568",
            "telephone_number": "931-993-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WESTSIDE DR STE 4",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883253",
            "telephone_number": "931-993-2508",
            "fax_number": "877-832-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Stoneboro Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373345568",
            "country_code": "US",
            "telephone_number": "931-993-2508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KRISTEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-28",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "GEORGE",
            "credential": "KRISTEN BRADLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah J Garner
• Jonathan Michael Garrison, PSY.D.
• Nancy L Garrison, PSY.D.
• Caroline Gault, SLP-CCC
• James Walton George, M.D.
• Linsey George
• Wilburn Edwin George Jr., MD
• Amanda Hope Gibson
• Sharon Lynn Gilliam, MSN CRNP
• Katherine M Gilliland, MSN CRNP

• Family Nurse Practitioner in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.