Individual
JAYNE CRESCIMBENI-PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-2663
(812) 333-8140
Mailing address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000889A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200465950
—
IN
Enumeration date
11/07/2005
Last updated
12/06/2018
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