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Individual
JENNIFER CRISCO LONG
Active
Individual
JENNIFER CRISCO LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
004058
CT
Other
Enumeration date
03/23/2009
Last updated
09/15/2022
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