Individual
JACLYN N CROMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
995 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5588
(812) 353-3060
(812) 353-3070
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
28230067A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013117A
IN
363LF0000X
Family Nurse Practitioner
F09210643
IN
Other
Enumeration date
05/02/2022
Last updated
11/18/2022
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