Individual
ELIZABETH ANNE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
760 W FRANKLIN ST, JACKSON, MI 49201-2048
(517) 205-2700
Mailing address
714 OBRIEN RD, JACKSON, MI 49201-8982
(517) 416-4158
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-302211
MI
363L00000X
Nurse Practitioner
Primary
4704323389
MI
363LP0200X
Pediatric Nurse Practitioner
4704323389
MI
Other
Enumeration date
07/08/2021
Last updated
08/25/2021
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