Individual
CODY CROSSMAN PINLAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
72 S ARCADIAN CIR APT 203, MEMPHIS, TN 38103-6928
(901) 828-4396
Mailing address
72 S ARCADIAN CIR APT 203, MEMPHIS, TN 38103-6928
(901) 828-4396
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
189618
TN
363LF0000X
Family Nurse Practitioner
Primary
27577
TN
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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