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Individual

MRS. JESSICA JEANES CRANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
200 PATEWOOD DR, STE B350, GREENVILLE, SC 29615-3593
(864) 454-4500
(864) 454-4505
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19578
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
APPROVED
SC
05
NP3454
SC
Enumeration date
08/21/2015
Last updated
05/20/2021
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