Individual
COURTNEY RAE CRISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY FL 3, JACKSONVILLE, FL 32224-0609
(904) 223-3321
(904) 223-2169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10406
GA
363A00000X
Physician Assistant
Primary
PA9111862
FL
Other
Enumeration date
02/28/2019
Last updated
09/20/2024
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