Individual
DR. JILLIAN CROUCHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3003
Mailing address
4420 LAKE BOONE TRAIL, REX NEONATOLOGY, RALEIGH, NC 27607
(197) 843-0039
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2009-00428
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2009-00428
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2007
Last updated
04/23/2021
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