Provider Demographics
NPI:1023818879
Name:CRAWFORD, REBECCA L (FNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:CRAWFORD
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 STUBBLEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-5869
Mailing Address - Country:US
Mailing Address - Phone:936-404-9351
Mailing Address - Fax:
Practice Address - Street 1:220 STUBBLEFIELD DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-5869
Practice Address - Country:US
Practice Address - Phone:936-404-9351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1192064363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily