Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristine Wall, NP

Individual provider Family Nurse Practitioner · NPI 1275380628

Kristine Wall, NP is a Family Practice in Jefferson City, Missouri. Qualified in 2024, 2 years ago. Practices with Community Health Ctr of Central Missouri, a 17-clinician group. Licensed in Missouri.

Years since qualifying
2
Licensed in
MO
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1511 Christy Dr
Jefferson City, MO 65101-2854
Phone: (573) 632-2777
Fax: (573) 632-2769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2024015564 (MO)

Record details

NPI number1275380628
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 3, 2024
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024
Mailing addressPo Box 104780, Jefferson City, MO 65110-4780

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Community Health Ctr Of Central Missouri — 17 clinicians
Accepts Medicare assignment Not indicated

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