Healthcare Provider Details

I. General information

NPI: 1285445148
Provider Name (Legal Business Name): KRISTA COX FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 STERLING FARM DR
JACKSON TN
38305-5727
US

IV. Provider business mailing address

1693 FALCON RD
SELMER TN
38375-5430
US

V. Phone/Fax

Practice location:
  • Phone: 423-580-0317
  • Fax: 731-300-6955
Mailing address:
  • Phone: 423-580-0317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number38024
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: