Kristen Nicole Massey
Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
4017 State Route 159 Ste 101
Smithton
, Illinois 62285
Kristen Nicole Massey
Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
4017 State Route 159 Ste 101
Smithton
, Illinois 62285
(618) 257-2895
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Kristen Nicole Massey
- 4017 State Route 159 Ste 101
- Smithton, IL
- Zip : 62285-2510
- Fax : (618) 257-2895
- Phone : (618) 257-2875
Second Address
- Kristen Nicole Massey
- 4017 State Route 159 Ste 101
- Smithton, IL
- Zip : 62285
- Fax : (618) 257-2895
- Phone : (618) 257-2875
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FAQs
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What is Kristen Nicole Massey ’s gender?
Is Kristen Nicole Massey a sole practitioner?
Is Kristen Nicole Massey accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 209010341 | IL |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 209010341 | IL |
National Provider Identifier
| NPI | 1003159450 |
|---|---|
| Provider Name | Kristen Nicole Massey |
| First Address | Smithton, IL 62285-2510 |
| Second Address | Smithton, IL 62285 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2013 |
| Last Update Date | 05/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209010341 | IL LIC (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.