Provider Demographics
NPI:1548670532
Name:STARNES, KRISTINA (APRN)
Entity type:Individual
Prefix:MS
First Name:KRISTINA
Middle Name:
Last Name:STARNES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 CHESTER AVE SUITE C
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:SC
Mailing Address - Zip Code:29055
Mailing Address - Country:US
Mailing Address - Phone:803-482-5904
Mailing Address - Fax:803-482-5906
Practice Address - Street 1:503 CHESTER AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GREAT FALLS
Practice Address - State:SC
Practice Address - Zip Code:29055
Practice Address - Country:US
Practice Address - Phone:803-482-5904
Practice Address - Fax:803-482-5906
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC95993163W00000X
SC24898363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse