Individual
MRS. KIMBERLY KAYE CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1720 E REELFOOT AVE STE 200, UNION CITY, TN 38261-6049
(731) 507-0272
(731) 507-0273
Mailing address
5683 S REX RD STE A, MEMPHIS, TN 38119-3821
(901) 350-0678
(901) 350-0677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN14751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905
GROUP (PTAN )
TN
01
—
103I502866
MEDICARE (PTAN)
TN
05
—
1519877
—
TN
Enumeration date
02/19/2010
Last updated
10/06/2025
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