Joan Crenshaw, MD
Student in an Organized Health Care Education/Training Program in Jackson, TN. Individual provider (NPI-1).
NPI number1003676735
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1003676735
- Entity type
- Individual (NPI-1)
- Name
- Joan Crenshaw
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2024
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
294 Summar DrJackson, TN 38301-3915
Phone 731-423-1932 · Fax 731-660-8739
Mailing address
294 Summar DrJackson, TN 38301-3915
Phone 731-423-1932 · Fax 731-660-8739
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All 38 Student in an Organized Health Care Education/Training Program providers in Jackson · All 3,212 providers in Jackson
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