| Organization Name: | CROWDER FAMILY HEALTHCARE |
| NPI Number: | 1144531658 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA HARPER (BILLER/CODER) |
| Mailing Address: | 211 East Mcmurry Blvd. Hartsville |
| State: | TN US |
| Postal Code: | 37074 |
| Phone Number: | 6153744700 |
| Fax Number: | 6153744131 |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 113595 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |