Individual
MRS. CRYSTAL AMBER JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFSA
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
113719
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104975078
BCBS
IN
01
—
113719
BOARD CERTIFICATION
IN
Enumeration date
01/10/2025
Last updated
03/20/2025
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