Organization · Type 2 NPI
Crossroads Clinic PLLC
Primary Care Nurse Practitioner · Ooltewah, TN
NPI number
1043662687
Active
Practice location
1667 Ooltewah Ringgold Rd, Suite 111
Ooltewah, TN 37363-9830
Fax (423) 825-4882
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
4 other providers at this address
Other primary care nurse practitioner providers in Ooltewah
About NPI 1043662687
Crossroads Clinic PLLC's National Provider Identifier is 1043662687, issued on Jul 7, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Ooltewah, TN. The record was last updated on Jul 7, 2016.