Healthcare Provider Details

I. General information

NPI: 1215585104
Provider Name (Legal Business Name): KATHRYN LYNNE STARR DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604-6035
US

IV. Provider business mailing address

421 OLD EMBREEVILLE RD
JONESBOROUGH TN
37659-6176
US

V. Phone/Fax

Practice location:
  • Phone: 352-672-4620
  • Fax:
Mailing address:
  • Phone: 352-672-4620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number31781
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11003949
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: