Provider Demographics
NPI:1053009571
Name:LINK, KYLIE RITA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:RITA
Last Name:LINK
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 RIVERSIDE DR STE 302
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5393
Mailing Address - Country:US
Mailing Address - Phone:615-205-8692
Mailing Address - Fax:615-908-5849
Practice Address - Street 1:377 RIVERSIDE DR STE 302
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-5393
Practice Address - Country:US
Practice Address - Phone:615-205-8692
Practice Address - Fax:615-908-5849
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33836363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health