Provider Demographics
NPI:1053711689
Name:KITTS, REAGAN (FNP)
Entity type:Individual
Prefix:
First Name:REAGAN
Middle Name:
Last Name:KITTS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6328 MCMILLAN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-5504
Mailing Address - Country:US
Mailing Address - Phone:423-991-4915
Mailing Address - Fax:423-374-1217
Practice Address - Street 1:8731 RUTLEDGE PIKE
Practice Address - Street 2:
Practice Address - City:RUTLEDGE
Practice Address - State:TN
Practice Address - Zip Code:37861-3112
Practice Address - Country:US
Practice Address - Phone:865-828-5595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18784363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily