MRS. KRISTEN WILSON ELLSWORTH FNP NPI 1669890927

NPI Information

  • NPI: 1669890927
  • Provider Name: MRS. KRISTEN WILSON ELLSWORTH, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 151 ADAMS LN
    SUITE 13
    MOUNT JULIET, TN
    ZIP 37122
  • Phone: (615) 288-4087

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NPI Details

MRS. Kristen Wilson Ellsworth, FNP is a family nurse practitioner in Mount Juliet, TN. MRS. Kristen Wilson Ellsworth, FNP NPI is 1669890927. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 ADAMS LN
SUITE 13
MOUNT JULIET, TN
ZIP 37122-598
Phone: (615) 288-4087

The enumeration date for this NPI number is 4/3/2014 and was last updated on 5/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily18503TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q011560MEDICAIDTENNESSEE
21669890927MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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