Mix, Kristin Lynn
Mix, Kristin Lynn is an individual health care provider with primary practice located at 801 N Weisgarber Rd Suite 200, Knoxville TN 37909-2706. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mix, Kristin Lynn can be contacted via phone (865) 584-8588.Contact Information
Primary practice address
801 N Weisgarber Rd Suite 200
Knoxville TN 37909-2706
Phone: (865) 584-8588
Fax: (865) 584-3364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 179647 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 179647 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN7223 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 7223 | Tennessee |
Profile Details
| NPI number | 1730173261 |
|---|---|
| LBN Legal business name | Mix, Kristin Lynn |
| Credentials | FNP, APMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Apr 9th, 2014 - about 10 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 | 1730173261 | NPPES |
| North Carolina | Other | 2592697 | MEDICARE |
| North Carolina | MEDICAID | 7003901 | MEDICARE |
| North Carolina | Other | P00377624 | MEDICARE |
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