Provider Demographics
NPI:1861204554
Name:TITUS, CHRISTA JANELLE (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:JANELLE
Last Name:TITUS
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:PRATT
Mailing Address - State:KS
Mailing Address - Zip Code:67124-0308
Mailing Address - Country:US
Mailing Address - Phone:620-672-7422
Mailing Address - Fax:855-884-8184
Practice Address - Street 1:PO BOX 308
Practice Address - Street 2:
Practice Address - City:PRATT
Practice Address - State:KS
Practice Address - Zip Code:67124-0308
Practice Address - Country:US
Practice Address - Phone:620-672-7422
Practice Address - Fax:855-884-8184
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-152417-112163W00000X
KS53-83968-112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse