Provider Demographics
NPI:1851076319
Name:COX, KRISTEN LEE (APRN)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:LEE
Last Name:COX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:900 OSPREY LANDING DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-4688
Mailing Address - Country:US
Mailing Address - Phone:863-660-5654
Mailing Address - Fax:239-603-0452
Practice Address - Street 1:1501 CORPORATE DR STE 100
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6654
Practice Address - Country:US
Practice Address - Phone:813-358-3549
Practice Address - Fax:239-603-0452
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN110270962084P0802X, 261QM0850X, 2084P0800X, 363LP0808X
FLAPRN1102709363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction PsychiatryGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health