| Doctor Name: | MS. PATRICIA JUANELL CRAIN |
| NPI Number: | 1033211016 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 120642 |
| Business Practice Address: | 1133 W Kansas St Liberty, MO - 640682281 |
| Business Phone Number: | 8167817400 |
| Business Fax Number: | |
| Mailing Address: | 16324 E Pacific Ave, INDEPENDENCE |
| State: | MO |
| Postal Code: | 640504844 |
| Phone Number: | 8168364214 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 120642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |