Individual
JACALYN MARIE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
801 OHIOHEALTH BLVD, SUITE 260, DELAWARE, OH 43015-1495
(740) 615-0500
(740) 615-0501
Mailing address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 615-1324
(740) 615-1344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.11717-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157524
—
OH
Enumeration date
09/13/2010
Last updated
01/31/2022
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