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NPI Code Detail

MEDICARE: MRS. LAUREN MCCROSKEY FNP

MEDICARE: MRS. LAUREN MCCROSKEY FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN0000018280TN
2163W00000XRegistered NurseRN0000171180TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN0000171180OTHERTNRN LICENSE
2APN0000018280OTHERTNFNP LICENSE
32013017606OTHERTNANCC

General Provider Information

NPI Number : 1861816704
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN MCCROSKEY FNP
Provider Business Mailing Address
First Line : 2717 E OAKLAND AVE
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1843
Country : US
Telephone Number : 423-926-2358
Fax Number : 423-926-2680
Provider Business Practice Location Address
First Line : 809 E EMERALD AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5550
Country : US
Telephone Number : 423-926-2358
Fax Number : 423-926-2680
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2014
Last Update Date : 12/03/2025

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