Healthcare Provider Details

I. General information

NPI: 1518891548
Provider Name (Legal Business Name): KRISTEN BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 CEDAR LN STE 200
TULLAHOMA TN
37388-4761
US

IV. Provider business mailing address

103 LINDA LN
TULLAHOMA TN
37388-5409
US

V. Phone/Fax

Practice location:
  • Phone: 931-393-3143
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number119978
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: