Kristi Michelle Black, R.N.

Individual provider Active NPI Registered Nurse · Talbott, TN

NPI 1639686124 · NPPES record last updated Aug 9, 2022

Key facts

NPI
1639686124
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN212942 (TN)
Practice address
6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605
Phone
(423) 587-7337
Fax
(423) 586-0614
NPI assigned
Jan 5, 2018
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)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN212942TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN212942 TN Yes

Addresses

Primary practice location

6350 W Andrew Johnson Hwy
Talbott, TN 37877-8605

Mailing address

6350 W Andrew Johnson Hwy Dept 100
Talbott, TN 37877-8605
Phone (800) 355-3565

Other names

  • Kristi Michelle Metler Other name

Other providers in Talbott, TN

All providers in Talbott, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.