Dr CRYSTAL LYNN SHAW is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
RC BLANE ENTERPRISES, PC
1511 DONELSON PKWY
DOVER
TN
370583749
Tel: 9312325555
| Npi | 1154801207 |
| Pac Id | 5597001818 |
| Professional Enrollment Id | I20190108001682 |
| Last Name | SHAW |
| First Name | CRYSTAL |
| Middle Name | LYNN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | RC BLANE ENTERPRISES, PC |
| Group Practice Pac Id | 6507963428 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1511 DONELSON PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DOVER |
| State | TN |
| Zip Code | 370583749 |
| Phone Number | 9312325555 |
| Hospital Affiliation Ccn 1 | 440132 |
| Hospital Affiliation Lbn 1 | HENRY COUNTY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 440035 |
| Hospital Affiliation Lbn 2 | TENNOVA HEALTHCARE-CLARKSVILLE |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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