Individual
MS. JACQUELINE E CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
34TH STREET & CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-4399
(215) 590-0883
(267) 426-8130
Mailing address
34TH STREET & CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-4399
(215) 590-0883
(267) 426-8130
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP010487
PA
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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