Individual
JILL ELLEN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5322
Mailing address
202 BEVINS LN, GEORGETOWN, KY 40324-6178
(859) 323-9333
(502) 570-5322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3002099
KY
363LF0000X
Family Nurse Practitioner
Primary
3002099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069024
ANTHEM
—
05
—
78020997
—
KY
Enumeration date
07/12/2005
Last updated
01/20/2015
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