Provider Demographics
NPI:1154643211
Name:CROSBY, ALLISON COURTNEY (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:COURTNEY
Last Name:CROSBY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:COURTNEY
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1188 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-3206
Mailing Address - Country:US
Mailing Address - Phone:731-642-8883
Mailing Address - Fax:731-642-8997
Practice Address - Street 1:1188 N MARKET ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-3206
Practice Address - Country:US
Practice Address - Phone:731-642-8883
Practice Address - Fax:731-642-8997
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant