Healthcare Provider Details

I. General information

NPI: 1518894617
Provider Name (Legal Business Name): REBECCA CRUM MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BECCA CRUM MSN, APRN, FNP-C

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7557 DANNAHER DR STE 240
POWELL TN
37849-3563
US

IV. Provider business mailing address

6529 MCFALL RD
KNOXVILLE TN
37918-5914
US

V. Phone/Fax

Practice location:
  • Phone: 865-859-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number41418
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: