TRACI C CRUMP NPI 1861019721

NPI Information

  • NPI: 1861019721
  • Provider Name: TRACI C CRUMP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 MEDICAL PARK DR
    BENTON, AR
    ZIP 72015
  • Phone: (501) 776-6000

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NPI Details

Traci C Crump is an acute care nurse practitioner in Benton, AR with 9 years of experience. Traci C Crump NPI is 1861019721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MEDICAL PARK DR
BENTON, AR
ZIP 72015-353
Phone: (501) 776-6000
Fax: (501) 776-6178

The NPI 1861019721 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2020 and was last updated on 6/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthA005931ARKANSASNo
2363LG0600XNurse PractitionerGerontologyA005931ARKANSASNo
3363LA2100XNurse PractitionerAcute CareA005931ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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