Individual
JO ANN CROSBY
Active
Individual
JO ANN CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.342111
IL
163W00000X
Registered Nurse
126320
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2016044501
MO
363LA2200X
Adult Health Nurse Practitioner
20901523
IL
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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