TRACI C CRUMP NPI 1861019721

NPI Information

NPI: 1861019721
Provider Name: TRACI C CRUMP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1 MEDICAL PARK DR
BENTON, AR
ZIP 72015
Phone: (501) 776-6000
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Traci C Crump is an acute care nurse practitioner in Benton, AR with 7 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
1	363LA2200X	Nurse Practitioner	Adult Health	A005931	ARKANSAS	No
2	363LG0600X	Nurse Practitioner	Gerontology	A005931	ARKANSAS	No
3	363LA2100X	Nurse Practitioner	Acute Care	A005931	ARKANSAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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