Crump, Traci C

Crump, Traci C is an sole proprietor health care provider with primary practice located at 1 Medical Park Dr , Benton AR 72015-3353. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Crump, Traci C can be contacted via phone (501) 776-6000.

Contact Information

Primary practice address
1 Medical Park Dr Benton AR 72015-3353
Phone: (501) 776-6000
Fax: (501) 776-6178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A005931 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X A005931 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A005931 Arkansas

Profile Details

NPI number 1861019721
LBN Legal business name Crump, Traci C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2020
Last updated Jun 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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