Tia Criscoe
Tia Criscoe is a Nurse Practitioner in Monterey, Tennessee. Qualified in 2019, 7 years ago. Practices with Shc Medical Partners of Tennessee, LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Tennessee.
- Years since qualifying
- 7
- Licensed in
- TN
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
410 W Crawford AveMonterey, TN 38574-1122
Phone: (931) 839-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 26656 (TN) |
|---|---|
| Community Health Registered Nurse | Taxonomy 163WC1500X · Licence 170981 (TN) |
Record details
| NPI number | 1184959066 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 9, 2009 |
| Last updated in NPPES | May 10, 2020 |
| Certification date | May 10, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Shc Medical Partners Of Tennessee, Llc — 22 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |