Jack Crump, RN, BSN
Registered Nurse in Louisville, KY. Individual provider (NPI-1).
NPI number1629904875
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1629904875
- Entity type
- Individual (NPI-1)
- Name
- Jack Crump
- Credential
- RN, BSN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2026
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1177008 | KY | Yes |
Practice location
530 S Jackson StLouisville, KY 40202-1675
Phone 502-562-3000
Mailing address
400 S Beckley Station RdLouisville, KY 40245-4004
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