Individual
MRS. JENNIFER MAE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 N. GARDNER STREET, SCOTTSBURG, IN 47170
(812) 752-0001
(812) 752-0010
Mailing address
1465 N GARDNER ST, PO BOX 188, SCOTTSBURG, IN 47170-7751
(812) 752-0001
(812) 752-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01054398A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370661
IN KY ANTHEM BCBS
—
05
—
200330610A
—
IN
Enumeration date
06/09/2005
Last updated
08/12/2014
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