Individual provider · Type 1 NPI

Kristene Qualls

Nurse Practitioner · Mishawaka, IN

NPI number 1750770053 Active

Practice location

524 E Mckinley Ave
Mishawaka, IN 46545-6285

Call (574) 256-2556 Map

Mailing address

29580 County Road 6
Elkhart, IN 46514-9513

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71005344A (IN)

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 1750770053

Kristene Qualls's National Provider Identifier is 1750770053, issued on Jan 10, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mishawaka, IN. The record was last updated on Nov 21, 2016.