Individual
MRS. BRIDGET CROWN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
1030 JEFFERSON AVE, N&FS (120), MEMPHIS, TN 38104-2127
(901) 523-8990
(901) 577-7413
Mailing address
9932 WOODLAND FERN DR, LAKELAND, TN 38002-3809
(901) 523-8990
(901) 577-7413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1624
LICENSE
TN
Enumeration date
09/01/2006
Last updated
07/08/2007
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