Individual
JENA LISA CRISLER
Active
Individual
JENA LISA CRISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102201425
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010130832
—
VA
01
—
166966
ANTHEM/BCBS
—
01
—
310336
SOUTHERN HEALTH
—
01
—
3810001543
WV MEDICAID
WV
01
—
7040694
CIGNA
—
01
—
P00193966
RAILROAD MEDICARE
—
Enumeration date
07/30/2006
Last updated
01/22/2008
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