Individual
CRYSTAL DAWN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
223 MINERAL ST, NEWPORT, TN 37821-3827
(423) 226-5431
(423) 205-4861
Mailing address
223 MINERAL ST, NEWPORT, TN 37821-3827
(423) 226-5431
(423) 205-4861
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23939
TN
Other
Enumeration date
02/28/2018
Last updated
02/19/2024
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