# MRS. SUSANNA RAE CROUCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376703405
- **Gender:** F
- **Credential:** APRN-BC, FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 13252 | TN | Yes |
| 363LF0000X | Family Nurse Practitioner | 13252APNFNP | TN | — |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 09/27/2013