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Jan Leslie Crean, MD
Specialist in Tullahoma, Tennessee
NPI 1790744456

Jan Leslie Crean is a Specialist based in Tullahoma, TN. Jan Leslie Crean practices in Tullahoma, TN and has the professional credentials of MD. The NPI Number for Jan Leslie Crean is 1790744456 and holds a License No. 036135 (Tennessee).

The current practice location address for Jan Leslie Crean is 603 Lake Way Pl, Tullahoma, TN and can be reached out via phone at 931-455-1177 and via fax at 931-461-3091.

Location: 603 Lake Way Pl, Tullahoma, TN, 37388-4740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790744456
Provider Name
Jan Leslie Crean
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
603 Lake Way Pl, Tullahoma, TN, 37388-4740
Phone Number
931-455-1177
Fax Number
931-461-3091
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4252143 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
603 Lake Way Pl
City
Tullahoma
State
Tennessee
Zip
37388-4740
Phone Number
931-455-1177
Fax Number
931-461-3091
person
Provider Business Mailing Address Details
Address
603 Lake Way Pl
City
Tullahoma
State
Tennessee
Zip
37388-4740
Phone Number
931-455-1177
Fax Number
931-461-3091
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036135 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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