Individual
MISS JACQUELINE LOVE CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9192919
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9192919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308735200
—
FL
01
—
ARNP9192919
MEDICAL LICENSE
FL
Enumeration date
03/09/2007
Last updated
11/16/2016
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