JAN LESLIE CREAN MD
NPI 1790744456
Specialist in Tullahoma, TN

Active since March 21, 2006
603 LAKE WAY PL, SUITE B, TULLAHOMA, TN 37388(931) 455-1177(931) 461-3091 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jan Leslie Crean Md NPPES

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

JAN LESLIE CREAN MD (NPI 1790744456) is an individual specialist in Tullahoma, Tennessee, licensed in Tennessee (036135) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1790744456
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJAN LESLIE CREANCredential: MD
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
Fax(931) 461-3091
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateMarch 23, 2010
NPI 1790744456 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

Other Identifiers 3

Medicare UPINF85777TN
Medicare ID-Type Unspecified3875474TN
Other4252143TN · Bcbs

Other Providers at the Same Location NPPES

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

Specialist
603 LAKE WAY PL, SUITE B
TULLAHOMA, TN 37388

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 Crean's NPI number?

The NPI number for Jan Crean is 1790744456. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Jan Crean located?

Jan Crean practices at 603 Lake Way Pl Suite B, Tullahoma, TN 37388. The listed phone number is (931) 455-1177.

What is Jan Crean'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 Crean was last updated on March 23, 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.