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JAN L CREAN MD FACOG OB/GYN PC
NPI 1720305576
Specialist in Tullahoma, TN

Active since May 03, 2010
603 LAKE WAY PL, SUITE B, TULLAHOMA, TN 37388(931) 455-1177(931) 461-3091 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jan L Crean Md Facog Ob/gyn Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAN L CREAN MD FACOG OB/GYN PC (NPI 1720305576), doing business as Jan L Crean Md Facog Obstetrics & Gynecology, is a healthcare organization registered as a specialist in Tullahoma, Tennessee and active in the NPI registry since May 2010. The organization lists Jan L Crean, President, as its authorized official.

NPPES Registry Identity

NPI1720305576
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJAN L CREAN MD FACOG OB/GYN PC
Location Address603 LAKE WAY PL, SUITE BTullahoma, TN 37388-4740
Mailing Address603 Lake Way Pl, Suite BTullahoma, TN 37388-4740 · (931) 455-1177 · Fax (931) 461-3091
Phone(931) 455-1177
Fax(931) 461-3091
Organization SubpartYes
Authorized OfficialJan L CreanPresident · (931) 455-1177
Enumeration DateMay 3, 2010
Last NPPES UpdateMay 19, 2010
✔ NPI 1720305576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 036135
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
603 LAKE WAY PL, Tullahoma, TN 37388
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Other Names 1

Former Legal Business NameJan L Crean Md Facog Obstetrics & Gynecology

Other Identifiers 1

Medicare PIN3875474TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAN LESLIE CREAN MD
Specialist
603 LAKE WAY PL, SUITE B
TULLAHOMA, TN 37388
Coffee County (931) 455-1177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan L Crean MD Facog Ob/Gyn PC's NPI number?

The NPI number for Jan L Crean MD Facog Ob/Gyn PC is 1720305576. It was assigned to this organization in the NPPES registry on May 3, 2010. The provider was formerly known as Jan L Crean MD Facog Obstetrics & Gynecology.

Where is Jan L Crean MD Facog Ob/Gyn PC located?

Jan L Crean MD Facog Ob/Gyn PC is located at 603 Lake Way Pl Suite B, Tullahoma, TN 37388. The listed phone number is (931) 455-1177.

What is Jan L Crean MD Facog Ob/Gyn PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jan L Crean MD Facog Ob/Gyn PC was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.