Provider Demographics
NPI:1205063591
Name:CROWE, JAYNE LITTLEJOHN (MD)
Entity type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:LITTLEJOHN
Last Name:CROWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JAYNE
Other - Middle Name:ELLEN
Other - Last Name:LITTLEJOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:975 E 3RD ST
Mailing Address - Street 2:ATTN: PROVIDER ENROLLMENT
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2147
Mailing Address - Country:US
Mailing Address - Phone:423-778-5630
Mailing Address - Fax:423-778-3146
Practice Address - Street 1:979 E. THIRD ST
Practice Address - Street 2:SUITE B - 805
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2141
Practice Address - Country:US
Practice Address - Phone:423-778-4396
Practice Address - Fax:423-778-4397
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA67676207RR0500X
TN51144207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology