Provider Demographics
NPI:1457301178
Name:CROSSWHITE, MESCHELL RENEE (APN)
Entity Type:Individual
Prefix:
First Name:MESCHELL
Middle Name:RENEE
Last Name:CROSSWHITE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 S MASON ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-1050
Mailing Address - Country:US
Mailing Address - Phone:540-568-6552
Mailing Address - Fax:540-568-8096
Practice Address - Street 1:738 S MASON ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1050
Practice Address - Country:US
Practice Address - Phone:540-568-6552
Practice Address - Fax:540-568-8096
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173518363LP0808X
TNRN138171163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3928320Medicare PIN
TNQ08518Medicare UPIN