Cradic, Janet

Cradic, Janet is an individual health care provider with primary practice located at 111 W Stone Dr Ste 110 , Kingsport TN 37660-6027. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cradic, Janet can be contacted via phone (423) 224-3701.

Contact Information

Primary practice address
111 W Stone Dr Ste 110 Kingsport TN 37660-6027
Phone: (423) 224-3701
Fax: (423) 224-3709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166194 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5587 Tennessee

Profile Details

NPI number 1497758551
LBN Legal business name Cradic, Janet
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jun 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497758551 NPPES
Virginia MEDICAID 1497758551
Virginia Other P00910852
Virginia MEDICAID 3904543

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