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Individual
MS. JILL ANTOINETTE CRANK
Active
Individual
MS. JILL ANTOINETTE CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R170775
MD
363LC1500X
Community Health Nurse Practitioner
R170775
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132190100
—
MD
Enumeration date
01/23/2008
Last updated
06/05/2018
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