Healthcare Provider Details

I. General information

NPI: 1639379175
Provider Name (Legal Business Name): CHRISTINA KAY CROSS APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6523 CENTRAL AVENUE PIKE
KNOXVILLE TN
37912-1505
US

IV. Provider business mailing address

6523 CENTRAL AVENUE PIKE
KNOXVILLE TN
37912-1505
US

V. Phone/Fax

Practice location:
  • Phone: 865-357-5377
  • Fax:
Mailing address:
  • Phone: 865-357-5377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3010089
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN0000012828
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12828
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN0000012828
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3010089
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: