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Individual

CARISSA DANIELLE CRAWFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CCRN

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(888) 226-4343
Mailing address
3715 THISTLE VALLEY LN, BARTLETT, TN 38135-9425
(901) 326-3085

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
189537
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
34954
TN

Other

Enumeration date
09/01/2021
Last updated
01/11/2024
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