Provider Demographics
NPI:1447568738
Name:CROWE, WILLIAM CHARLES JR (MSN, ACNP-BC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:CROWE
Suffix:JR
Gender:M
Credentials:MSN, ACNP-BC
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5783
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37406-0783
Mailing Address - Country:US
Mailing Address - Phone:423-778-8061
Mailing Address - Fax:423-756-3198
Practice Address - Street 1:975 E 3RD ST
Practice Address - Street 2:PATIENT LOGISTICS
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2147
Practice Address - Country:US
Practice Address - Phone:423-778-8061
Practice Address - Fax:423-786-3198
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2011-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN15199363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care