Individual provider · Type 1 NPI

Corrie Crump, ACNPC-AG

Nurse Practitioner · Medford, OR

NPI number 1992524201 Active

Practice location

2900 State St
Medford, OR 97504-8458

Mailing address

3457 Durst St
Medford, OR 97504-4221

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X202112389NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992524201

Corrie Crump, ACNPC-AG's National Provider Identifier is 1992524201, issued on Oct 4, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Medford, OR. The record was last updated on Oct 4, 2024.