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

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

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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.