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Mr. Larry Gene Crisp, CFNP
Family Nurse Practitioner in Decatur, Tennessee
NPI 1275693921

Larry Gene Crisp is a Family Nurse Practitioner based in Decatur, TN and is specialized in Family. Larry Gene Crisp practices in Decatur, TN and has the professional credentials of CFNP. The NPI Number for Larry Gene Crisp is 1275693921 and holds a License No. APN 7946 (Tennessee).

The current practice location address for Larry Gene Crisp is 16850 State Highway 58 S Ste A, Decatur, TN and can be reached out via phone at 423-334-2300.

Location: 16850 State Highway 58 S Ste A, Decatur, TN, 37322-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275693921
Provider Name
Larry Gene Crisp
Credential
CFNP
Provider Entity Type
Individual
Gender
Male
Address
16850 State Highway 58 S Ste A, Decatur, TN, 37322-5005
Phone Number
423-334-2300
Fax Number
Provider Enumeration Date
12/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4053899 05 TN
institution
Provider Business Practice Location Address Details
Address
16850 State Highway 58 S Ste A
City
Decatur
State
Tennessee
Zip
37322-5259
Phone Number
423-334-2300
Fax Number
person
Provider Business Mailing Address Details
Address
16850 State Highway 58 S Ste A
City
Decatur
State
Tennessee
Zip
37322-5259
Phone Number
423-334-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN 7946 (Tennessee)
Definition
Definition to come...
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