Individual
KATHY MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
6225 HUMPHREYS BLVD, MEMPHIS, TN 38120-2373
(901) 227-8923
Mailing address
325 SUSANNE DR, OAKLAND, TN 38060-3472
(901) 581-5821
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
33496
TN
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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