Individual
MRS. SYLVIA CRUTCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-9460
Mailing address
8613 MS HIGHWAY 12, ACKERMAN, MS 39735-8917
(662) 285-9460
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R665762
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00805595
—
MS
01
—
500001721
MEDICARE RAILROAD
MS
Enumeration date
03/24/2006
Last updated
03/10/2020
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