Massey, Kristen Nicole

Massey, Kristen Nicole is an individual health care provider with primary practice located at 4017 State Route 159 Ste 101 , Smithton IL 62285. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Massey, Kristen Nicole can be contacted via phone (618) 257-2875.

Contact Information

Primary practice address
4017 State Route 159 Ste 101 Smithton IL 62285
Phone: (618) 257-2875
Fax: (618) 257-2895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209010341 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209010341 Illinois

Profile Details

NPI number 1003159450
LBN Legal business name Massey, Kristen Nicole
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2013
Last updated Feb 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003159450 NPPES
Illinois Other 209010341 IL LIC

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