Stewart, Kristin Kathleen

Stewart, Kristin Kathleen is an sole proprietor health care provider with primary practice located at 8316 Macon Ter Ste 103 , Cordova TN 38018-8505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stewart, Kristin Kathleen can be contacted via phone (901) 791-2892.

Contact Information

Primary practice address
8316 Macon Ter Ste 103 Cordova TN 38018-8505
Phone: (901) 791-2892
Fax: (901) 791-4872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 21943 Tennessee

Profile Details

NPI number 1982154936
LBN Legal business name Stewart, Kristin Kathleen
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2016
Last updated Mar 4th, 2024 - about 2 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 1982154936 NPPES
Tennessee MEDICAID Q025599

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