Individual
JORDAN CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-1000
Mailing address
PO BOX 670531, CINCINNATI, OH 45267-0531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0020256
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/15/2020
Last updated
02/15/2021
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