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Individual

KATIE JUSTINE CRISMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4800 E JOHNSON AVE, JONESBORO, AR 72405-8413
(870) 936-1000
Mailing address
323 GOLDRUSH LN, JONESBORO, AR 72405-5141
(720) 937-0855

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
220477
AR
390200000X
Student in an Organized Health Care Education/Training Program
AR

Other

Enumeration date
02/18/2022
Last updated
11/06/2023
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