Provider Demographics
NPI:1134817224
Name:CROPPER, CARRIE BETH (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:BETH
Last Name:CROPPER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 NEW HOPE RD
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TN
Mailing Address - Zip Code:38551-6174
Mailing Address - Country:US
Mailing Address - Phone:931-704-7802
Mailing Address - Fax:
Practice Address - Street 1:140 MACON WAY
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37074-2080
Practice Address - Country:US
Practice Address - Phone:615-808-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33637363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health