# ALTERNATIVE NEUROPHYSIOLOGY D/B/A ALTMED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124908785
- **Authorized official:** DR. SEAN F MCCRACKEN PHD, APRN-C(NT), MBA (CEO)
- **Authorized official phone:** (850) 860-5566

## Contact information

- **Practice address:** 2099 N MOUNT JULIET RD UNIT 112, MT JULIET, TN 37122-3405
- **Practice address phone:** (850) 860-5566
- **Mailing address:** 2099 N MOUNT JULIET RD UNIT 112, MT JULIET, TN 37122-3405
- **Mailing address phone:** (850) 860-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | NULL | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2025
- **Last updated:** 09/04/2025