Individual
MRS. JULIE WITT CRAFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1717 W MASSEY RD, MEMPHIS, TN 38120-4206
(901) 685-8245
(901) 685-8248
Mailing address
PO BOX 405827 SUITE 101, ATLANTA, GA 30384-5827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
138036
TN
363LF0000X
Family Nurse Practitioner
Primary
15812
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531393
—
TN
01
—
4341887
BCBS
TN
01
—
P01152791
RAILROAD MEDICARE
TN
Enumeration date
01/21/2007
Last updated
09/19/2024
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