Individual
MS. JACLYN AMELIA CROWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
411 W RANDOLPH RD, HOPEWELL, VA 23860-2938
(201) 213-7182
Mailing address
4034 RUFFIN RD, NORTH PRINCE GEORGE, VA 23860-8635
(201) 213-7182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024188716
VA
Other
Enumeration date
10/02/2023
Last updated
03/28/2024
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