Individual
JACQUELINE NICOLE BROWN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 E ROOSEVELT BLVD STE 3, PHILADELPHIA, PA 19124-2300
(215) 315-1414
Mailing address
414 JAMIE DR, ROSTRAVER TOWNSHIP, PA 15012-4314
(724) 255-8048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
125944
WV
363LF0000X
Family Nurse Practitioner
Primary
SP033422
PA
Other
Enumeration date
07/24/2025
Last updated
04/23/2026
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