Individual
TRACI C CRUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
(501) 776-6178
Mailing address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6000
(501) 776-6178
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A005931
AR
363LA2200X
Adult Health Nurse Practitioner
A005931
AR
363LG0600X
Gerontology Nurse Practitioner
A005931
AR
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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