Individual
JEFFREY SCOTT CRISWELL
Active
Individual
JEFFREY SCOTT CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
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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