Individual provider · Type 1 NPI

Kristina McKibbin, FNP-BC

Nurse Practitioner · Plymouth, MI

NPI number 1609692151 Active

Practice location

40600 Ann Arbor Rd E
Plymouth, MI 48170-4675

Mailing address

2261 E Burt Rd
Camden, MI 49232-9793

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704241925 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609692151

Kristina McKibbin, FNP-BC's National Provider Identifier is 1609692151, issued on Dec 2, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plymouth, MI. The record was last updated on Aug 26, 2025.