Ellsworth, Kristen Wilson
Ellsworth, Kristen Wilson is an individual health care provider with primary practice located at 151 Adams Ln Suite 13, Mount Juliet TN 37122-3598. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellsworth, Kristen Wilson can be contacted via phone (615) 288-4087.Contact Information
Primary practice address
151 Adams Ln Suite 13
Mount Juliet TN 37122-3598
Phone: (615) 288-4087
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 18503 | Tennessee |
Profile Details
NPI number | 1669890927 |
---|---|
LBN Legal business name | Ellsworth, Kristen Wilson |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2014 |
Last updated | May 16th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669890927 | NPPES |
Tennessee | MEDICAID | Q011560 |
Popular Providers
-
Laramee, Brittney
1614 Cedar Tree Ln , Mount Juliet TN 37122-2405 -
Jaramillo, Mercy
1417 Fairview Drive , Mount Juliet TN 37122 -
Jones, Cynthia L
6104 Freemantle Ct , Mount Juliet TN 37122-7593 -
Weber, Katelyn Elizabeth Roxanne
5003 Crossings Cir Ste 103 , Mount Juliet TN 37122-8583 -
Hammitt, Donna K
40 W Caldwell St Ste 100 , Mount Juliet TN 37122-3180 -
Huey, Jaclyn Michelle
3500 N Mount Juliet Rd Suite 201, Mount Juliet TN 37122-3078 -
Deffendall, Rachel Jones
660 S Mount Juliet Rd Ste 211 , Mount Juliet TN 37122-3973 -
Dobler, Samantha
3022 Clyde Cir , Mount Juliet TN 37122-4570