Individual provider · Type 1 NPI

Kristy Lyn Booth, NP-C

Family Nurse Practitioner · College Station, TX

NPI number 1639670243 Active

Practice location

800 Scott And White Dr
College Station, TX 77845-6440

Call (979) 207-4000 Map

Fax (979) 207-4562

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	AP136803 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1639670243

Kristy Lyn Booth, NP-C's National Provider Identifier is 1639670243, issued on Feb 28, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in College Station, TX. The record was last updated on Oct 31, 2025.