Healthcare Provider Details

I. General information

NPI: 1285381202
Provider Name (Legal Business Name): KRISTY ABEGAIL GARRISON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7501 QUAKER AVE FL 1
LUBBOCK TX
79424-3367
US

IV. Provider business mailing address

5219 CITY BANK PKWY STE 35
LUBBOCK TX
79407-3545
US

V. Phone/Fax

Practice location:
  • Phone: 806-788-3306
  • Fax: 806-722-3861
Mailing address:
  • Phone: 806-785-0872
  • Fax: 806-761-0872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1072305
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: