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Contact Information

CHRISTY B DAUGHTRY, FNP-BC
650 JOEL DR
FORT CAMPBELL, KY42223-5318
 Phone: 270-956-0666
 Fax: 270-956-0686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CHRISTY B DAUGHTRY · (Female)

NPI Number 1316125800
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/06/2008
Last updated 02/08/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-111220
  • TN License # 135337
  • TN License # 15138
  • AL Medicaid 121142
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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