Individual
JAMIE L CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
4358 CHERRY LAKE LN, MIDDLEBURG, FL 32068-3978
(904) 487-6760
Mailing address
4358 CHERRY LAKE LN, MIDDLEBURG, FL 32068-3978
(904) 487-6760
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11026336
FL
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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