Individual
MRS. JENNIFER MARIE CROWLEY-RODIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2002 BROOKSIDE DR STE 102, KINGSPORT, TN 37660-4634
(423) 245-6000
(423) 245-4190
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9281237
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APN18804
TN
363LA2200X
Adult Health Nurse Practitioner
R198835
MD
Other
Enumeration date
06/17/2010
Last updated
01/28/2020
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