Provider Demographics
NPI:1568754851
Name:CRABTREE, JO A (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JO
Middle Name:A
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1308
Mailing Address - Street 2:
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63902-1308
Mailing Address - Country:US
Mailing Address - Phone:573-843-8380
Mailing Address - Fax:573-843-8381
Practice Address - Street 1:2651 SHELBY RD
Practice Address - Street 2:
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2387
Practice Address - Country:US
Practice Address - Phone:573-843-8380
Practice Address - Fax:573-843-8381
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011012312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA3664002Medicare Oscar/Certification