Individual
MR. JACOB VICTOR CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
307 CHISUM ST, SICILY ISLAND, LA 71368-4807
(318) 389-5727
(318) 389-4028
Mailing address
PO BOX 8, SICILY ISLAND, LA 71368-0008
(318) 389-5727
(318) 389-4028
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP10048
LA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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