Individual
CRYSTAL NICOLE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
509 N CEDAR AVE, COOKEVILLE, TN 38501-1707
(931) 520-8435
Mailing address
3238 PARAN RD, COOKEVILLE, TN 38506-7335
(931) 319-6709
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30528
TN
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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