MEDICARE: MS. KRIS JOY SUTTON NBC-HWC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach	A-3626554

General Provider Information

NPI Number	:	1033891031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRIS JOY SUTTON NBC-HWC

Provider Business Mailing Address
First Line	:	100 POWELL PL # 1441
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3622
Country	:	US
Telephone Number	:	866-719-9611
Fax Number	:	901-284-2536

Provider Business Practice Location Address
First Line	:	3005 S LAMAR BLVD STE 109D
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-4785
Country	:	US
Telephone Number	:	303-900-8410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	05/27/2026

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