Individual
JEANNINE CROMWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1050 GRAPE AVE, ST CLOUD, FL 34769
(407) 943-8677
(407) 892-6468
Mailing address
1875 BOGGY CREEK RD, KISSIMMEE, FL 34744-9516
(407) 943-8677
(407) 892-6468
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN695961
FL
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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