Most Relevant Information
Provider Data
| NPI Number: | 1003381484 |
| Provider Name: | KRISTI MICHELLE RUTHERFORD CPNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | PENDING |
Most Important Dates
| Enumeration Date: | 10/11/2018 |
| Last Updated: | 10/11/2018 |
Provider Practice Location
212 PHOENIX CT STE 1
SEYMOUR
TN
378653908
Practice Location Phone/Fax
| Phone: | 8655776475 |
| Fax: | 8655777942 |
Provider Mailing Location
212 PHOENIX CT STE 1
SEYMOUR
TN
378653908
Provider Mailing Phone/Fax
| Phone: | 8655776475 |
| Fax: | 8655777942 |