Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | MD47031 | TN |
N | 2080P0204X | Pediatric Emergency Doctor | 43727 | CO |
Y | 2080P0204X | Pediatric Emergency Doctor | MD47031 | TN |
NPI | 1467533760 |
---|---|
Provider Name | Dr. Kristen Leigh Crossman |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 30/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
52502015 | (05) | CO |
5910146 | (05) | NC |
NO1512 | (05) | SC |