Provider Demographics
NPI:1760874952
Name:CRABTREE, KASSIE M (APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KASSIE
Middle Name:M
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:KASSIE
Other - Middle Name:M
Other - Last Name:BRITTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:980 HIGHWAY 28 STE 200
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:TN
Mailing Address - Zip Code:37347-3744
Mailing Address - Country:US
Mailing Address - Phone:423-942-3869
Mailing Address - Fax:423-778-3146
Practice Address - Street 1:980 HIGHWAY 28 STE 200
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:TN
Practice Address - Zip Code:37347-3744
Practice Address - Country:US
Practice Address - Phone:423-942-3869
Practice Address - Fax:423-942-2472
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN000000363LF0000X
TN19908363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily