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Individual

MRS. JACQUELINE CANDACE CROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
601 WASHINGTON ST APT B, CUMBERLAND, MD 21502-2781
(301) 697-9398
Mailing address
601 WASHINGTON ST APT B, CUMBERLAND, MD 21502-2781
(301) 697-9398

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R199149
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
106050
WV
367500000X
Certified Registered Nurse Anesthetist
R199149
MD

Other

Enumeration date
10/30/2019
Last updated
03/11/2025
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