Individual
MRS. DIANA VAN PRECHT CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5126 TIMUQUANA RD, JACKSONVILLE, FL 32210-8046
(904) 777-4228
(904) 777-0012
Mailing address
569 WATER OAK LN, FLEMING ISLAND, FL 32003-4529
(904) 284-7897
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2211352
FL
Other
Enumeration date
11/20/2005
Last updated
09/01/2010
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