Provider Demographics
NPI:1144837899
Name:FOLLETT, KRISTINE ELLEN (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:ELLEN
Last Name:FOLLETT
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1425
Mailing Address - Country:US
Mailing Address - Phone:402-853-4485
Mailing Address - Fax:
Practice Address - Street 1:5900 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1425
Practice Address - Country:US
Practice Address - Phone:402-853-4485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-27
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily