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Individual

CRYSTAL GAIL ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1338 RUSSELL AVE, JEFFERSON CITY, TN 37760-2761
(865) 262-0049
(865) 262-0106
Mailing address
1338 RUSSELL AVE, JEFFERSON CITY, TN 37760-2761
(865) 262-0049
(865) 262-0106

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
206388
TN
207Q00000X
Family Medicine Physician
Primary
24364
TN
363LA2100X
Acute Care Nurse Practitioner
206388
TN

Other

Enumeration date
05/27/2018
Last updated
12/11/2024
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