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Individual
MICHELETTA CRUMP
Active
Individual
MICHELETTA CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245261
TN
363LF0000X
Family Nurse Practitioner
Primary
35775
TN
Other
Enumeration date
02/06/2024
Last updated
02/29/2024
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