Individual
JILL MARIE CRAWFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6400 E BROAD ST FL 4, COLUMBUS, OH 43213-2086
(614) 655-3345
Mailing address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 965-4913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.345012
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/06/2024
Last updated
01/16/2025
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