Individual
MS. JOAN COLETTE D'CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1536 BRIDGEWATER LN STE 103, KINGSPORT, TN 37660-4103
(423) 245-2406
(423) 245-2404
Mailing address
1536 BRIDGEWATER LN STE 103, KINGSPORT, TN 37660-4103
(423) 245-2406
(423) 245-2404
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12800
TN
Other
Enumeration date
07/03/2007
Last updated
10/15/2024
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