Individual
KYLE DOUGLAS CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1270 UNION UNIVERSITY DR STE D, JACKSON, TN 38305-3856
(731) 265-6450
Mailing address
70 HEMINGWAY CV, JACKSON, TN 38305-6518
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34574
TN
Other
Enumeration date
09/01/2023
Last updated
01/18/2024
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