Individual
JORDAN CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 LIBERTY ST, CHESAPEAKE, VA 23324-2637
(757) 917-5716
Mailing address
667 KINGSBOROUGH SQ STE 101, CHESAPEAKE, VA 23320-4999
(801) 930-4362
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024189496
VA
363LG0600X
Gerontology Nurse Practitioner
0024189496
VA
Other
Enumeration date
03/26/2024
Last updated
01/29/2025
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