Individual
MS. JACKLYNN CRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
258 SW 5TH ST STE 2, REDMOND, OR 97756-2150
(541) 203-0771
(458) 206-7385
Mailing address
258 SW 5TH ST STE 2, REDMOND, OR 97756-2150
(541) 203-0771
(458) 206-7385
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201902794NP-PP
OR
Other
Enumeration date
04/10/2013
Last updated
07/29/2024
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