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Individual
JENNIFER LYNN CRONKHITE
Active
Individual
JENNIFER LYNN CRONKHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
536623-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
536623-1
NEW YORK STATE LICENSE
NY
Enumeration date
02/27/2009
Last updated
02/27/2009
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