Kristen Sills Gosnell, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Demorest, GA
NPI 1225501703 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1225501703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN216690 (GA)
- Practice address
- 870 Austin Dr Ste E
Demorest, GA 30535-4584 - Phone
- (706) 286-8832
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07180059 | GA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F07180059 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN216690 | GA | Yes |
Addresses
Primary practice location
870 Austin Dr Ste E
Demorest, GA 30535-4584
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kgosnell168446@nghs.gadirect.net | Direct |
Other providers in Demorest, GA
- Georgia Em-I Medical Services PC
- Georgia Mountains Community Services
- Ravinderpal K Gill
- Donna M Glaser
- Katherine Glenn
- Courtney Lee Green
- Kelly A Greene
- Jonathan C Griggs
- Benjamin Thomas Griswold
- Finda L Guyton
All providers in Demorest, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.