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Crockett Medical Clinic Inc
Nurse Practitioner in Alamo, Tennessee
NPI 1104839703

Crockett Medical Clinic Inc is a Nurse Practitioner based in Alamo, TN. Crockett Medical Clinic Inc practices in Alamo, TN. The NPI Number for Crockett Medical Clinic Inc is 1104839703 and holds a License No. (Tennessee).

The current practice location address for Crockett Medical Clinic Inc is 58 S. Bells St, Alamo, TN and can be reached out via phone at 731-696-5401 and via fax at 731-696-5404.

Location: 58 S. Bells St, Alamo, TN, 38001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104839703
Provider Name
Crockett Medical Clinic Inc
Credential
Provider Entity Type
Organization
Address
58 S. Bells St, Alamo, TN, 38001
Phone Number
731-696-5401
Fax Number
731-696-5404
Provider Enumeration Date
08/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3717707 05 TN
3717707 01 TN PTAN
institution
Provider Business Practice Location Address Details
Address
58 S. Bells St
City
Alamo
State
Tennessee
Zip
38001
Phone Number
731-696-5401
Fax Number
731-696-5404
person
Provider Business Mailing Address Details
Address
58 S. Bells St
City
Alamo
State
Tennessee
Zip
38001
Phone Number
731-696-5401
Fax Number
731-696-5404
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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