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NPI Code Detail

MEDICARE: KRISTEN CHISOM

MEDICARE: KRISTEN CHISOM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse280010TN

General Provider Information

NPI Number : 1750239224
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN CHISOM
Provider Business Mailing Address
First Line : 2500 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number : 615-340-7781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ KRISTEN CHISOM ” Practice Location

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