Individual
JILLIAN CROSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10004 NW 112TH ST, MALCOLM, NE 68402-9561
(402) 796-2151
Mailing address
10004 NW 112TH ST, MALCOLM, NE 68402-9561
(402) 796-2151
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
79000
NE
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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