Individual
MISS KAREN CRUMLEY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6780 PATANIA WAY, JACKSONVILLE, FL 32216-5798
(904) 805-0850
(904) 805-9925
Mailing address
6780 PATANIA WAY, JACKSONVILLE, FL 32216-5798
(904) 805-0850
(904) 805-9925
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN3340932
FL
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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