Individual
JANE MCCROSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CNP
Contact information
Practice address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Mailing address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 302-4338
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 104826-5
MN
363LA2200X
Adult Health Nurse Practitioner
0221364-21
MN
363LP0200X
Pediatric Nurse Practitioner
95231
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013464
PREFERRED ONE
MN
01
—
116351
UCARE
MN
01
—
2444868
AMERICA'S PPO
MN
05
—
36018300
—
WI
05
—
398524500
—
MN
01
—
410568
MEDICA
MN
01
—
7K968MC
BCBS OF MN
MN
01
—
HP17968
HEALTHPARTNERS
MN
Enumeration date
07/06/2006
Last updated
12/12/2011
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