Individual
ANGELA LYNN CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6856 103RD ST, JACKSONVILLE, FL 32210-6877
(904) 777-0616
Mailing address
PO BOX 61148, JACKSONVILLE, FL 32236-1148
(904) 400-6105
(904) 400-6102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9179486
FL
Other
Enumeration date
03/01/2007
Last updated
04/29/2011
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