DR. CARRIE LYNN CRAGUN-ATCHISON


Address: 2720 Park St Ste 215, Jacksonville, FL 32205-7645
Phone: 5185986264

DR. CARRIE LYNN CRAGUN-ATCHISON (NPI# 1447643648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447643648
Entity Type Individual
Full Name DR. CARRIE LYNN CRAGUN-ATCHISON
Credential PH.D.
Practice Address 2720 Park St Ste 215
Jacksonville
FL 32205-7645
Mailing Address 2317 Forbes St
Jacksonville
FL 32204-4311
Practice Telephone 5185986264
Mailing Telephone 5185986264
Enumeration Date 2015-03-12
Last Update Date 2015-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PY8637 FL Behavioral Health & Social Service Providers

Office Location

Street Address 2720 PARK ST STE 215
City JACKSONVILLE
State FL
Zip Code 32205-7645

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City JACKSONVILLE
Zip Code 32205

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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