Individual
CRYSTAL L SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6225 HUMPHREYS BLVD, MEMPHIS, TN 38120-2373
(901) 227-9395
(901) 227-9105
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19757
TN
Other
Enumeration date
03/13/2015
Last updated
02/19/2020
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