Kristina Southerland, FNP
NPI #1528600277 in Chicago Ridge, Illinois
Provider Information
- NPI Number
- 1528600277
- Entity Type
- Individual
- Name
- Kristina Southerland, FNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP
- Enumeration Date
- Oct 15, 2019
- Last Updated
- Aug 7, 2025
Practice Location
- Address
- 10604 SOUTHWEST HWY STE 101
- City
- Chicago Ridge
- State
- Illinois
- ZIP Code
- 60415-2704
- Phone
- (708) 346-4065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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