Individual provider · Type 1 NPI

Joan Crenshaw, MD

Student in an Organized Health Care Education/Training Program · Jackson, TN

NPI number 1003676735 Active

Practice location

294 Summar Dr
Jackson, TN 38301-3915

Call (731) 423-1932 Map

Fax (731) 660-8739

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003676735

Joan Crenshaw, MD's National Provider Identifier is 1003676735, issued on Mar 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, TN. The record was last updated on Mar 20, 2024.