Individual
MS. JILL ANTOINETTE CRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2700 REMINGTON AVE STE 2000, BALTIMORE, MD 21211
(667) 312-2400
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
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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