Crisp, Jason Matthew

Crisp, Jason Matthew is an individual health care provider with primary practice located at 650 Joel Dr , Ft Campbell KY 42223. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Crisp, Jason Matthew can be contacted via phone (270) 798-8388.

Contact Information

Primary practice address
650 Joel Dr Ft Campbell KY 42223
Phone: (270) 798-8388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 29942 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1126653 Kentucky

Profile Details

NPI number 1598192858
LBN Legal business name Crisp, Jason Matthew
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2013
Last updated Oct 4th, 2023 - about 2 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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