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

Krystal Sudberry

Individual provider Family Nurse Practitioner · NPI 1972449544

Krystal Sudberry is a Nurse Practitioner in Hermitage, Tennessee. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2026
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Practice location Address checks out

5045 Old Hickory Blvd Ste 203
Hermitage, TN 37076-2591
Phone: (615) 933-3633
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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 41902 (TN)

Record details

NPI number1972449544
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address1905 Cephas St, Nashville, TN 37208-1436

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Hermitage