Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jerry A. Crump, CRNFA

Individual provider Surgical Physician Assistant · NPI 1942301072

Mr. Jerry A. Crump, CRNFA is a Surgical Physician Assistant in Cookeville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
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Practice location Address checks out

2749 Park West Dr
Cookeville, TN 38501-5606
Phone: (931) 432-0540
Fax: (931) 432-0540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 104144 (TN)

Record details

NPI number1942301072
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNFA
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 8, 2007

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