Kristina Jeanine Evans

Individual provider Active NPI Community Health Registered Nurse · Blountville, TN

NPI 1750017554 · NPPES record last updated Jul 26, 2022

Key facts

NPI
1750017554
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
257388 (TN)
Practice address
154 Blountville Byp
Blountville, TN 37617-4575
Phone
(423) 279-2777
NPI assigned
Jul 26, 2022
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

State licenses

LicenseStateTypeSpecialty
257388TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 257388 TN Yes

Addresses

Primary practice location

154 Blountville Byp
Blountville, TN 37617-4575

Mailing address

10214 Oakwinds Cir
Bristol, VA 24202-2606
Phone (229) 561-1202

Other practice location 1

1041 E Sullivan St
Kingsport, TN 37660-5242
Phone (423) 279-2777

Other providers in Blountville, TN

All providers in Blountville, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.