Provider Demographics
NPI:1497032098
Name:CROOK, VICTORIA ROLIN (NP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:ROLIN
Last Name:CROOK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1532 FLEETWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-4859
Mailing Address - Country:US
Mailing Address - Phone:615-330-9620
Mailing Address - Fax:
Practice Address - Street 1:1311 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3300
Practice Address - Country:US
Practice Address - Phone:615-472-1855
Practice Address - Fax:800-610-9330
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16216363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care