Provider Demographics
NPI:1043853625
Name:TUNNEY, CHRISTY LEE (FNP)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:LEE
Last Name:TUNNEY
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 1:9760 BLUE HERON
Mailing Address - Street 2:
Mailing Address - City:EATON RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:48827-8519
Mailing Address - Country:US
Mailing Address - Phone:989-513-7066
Mailing Address - Fax:
Practice Address - Street 1:1015 CHARLEVOIX DR
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-2278
Practice Address - Country:US
Practice Address - Phone:517-627-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8129363L00000X
MI4704282498363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care