Individual
JACKIE LYNNE CRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
373 CECIL D QUILLEN DR STE 101, 373 CECIL D. QUILLEN DRIVE SUITE 101, DUFFIELD, VA 24244-4085
(276) 431-1638
Mailing address
373 CECIL D QUILLEN DR STE 101, REGIONAL HEALTH RESOURCES, DUFFIELD, VA 24244-4085
(276) 431-1638
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024170808
VA
Other
Enumeration date
04/19/2013
Last updated
04/21/2016
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