Provider Demographics
NPI:1083935431
Name:CROW, HANNAH BAKER (MSN RN NNP)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:BAKER
Last Name:CROW
Suffix:
Gender:F
Credentials:MSN RN NNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ASHLEY
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:910 BLACKFORD ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-1405
Mailing Address - Country:US
Mailing Address - Phone:423-778-7000
Mailing Address - Fax:423-778-3232
Practice Address - Street 1:910 BLACKFORD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-1405
Practice Address - Country:US
Practice Address - Phone:423-778-7000
Practice Address - Fax:423-778-3232
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-110053163WN0002X
TX788836163WN0002X
TXAP119300363LN0000X
GARN245014363LN0000X
TNAPN0000028434363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal