Individual
KANSAS JESSEE KRABBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1501 W ELK AVE, ELIZABETHTON, TN 37643-2854
(423) 542-1300
Mailing address
PO BOX 955, CASTLEWOOD, VA 24224-0955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26587
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F09190352
BOARD CERTIFICATION
—
Enumeration date
09/05/2019
Last updated
10/29/2019
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