Individual
JEFFREY SCOTT CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.021628
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.021628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0253909
—
OH
01
—
H587890
CGS-MEDICARE
OH
Enumeration date
11/24/2017
Last updated
04/24/2025
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