Individual provider · NPI-1

Jaclyn N Crompton, FNP

Nurse Practitioner, Family · Bloomington, IN

NPI number1811632045

StatusActive

Last updated in NPPESNov 18, 2022

Details

NPI: 1811632045
Entity type: Individual (NPI-1)
Name: Jaclyn N Crompton
Credential: FNP
Sex: Female
Sole proprietor: Yes
Enumeration date: May 2, 2022
Certification date: Nov 18, 2022
Last updated: Nov 18, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	71013117A	IN	Yes
163WG0000X	Registered Nurse, General Practice	28230067A	IN
363LF0000X	Nurse Practitioner, Family	F09210643	IN

Practice location

995 S Clarizz Blvd
Bloomington, IN 47401-5588

Phone 812-353-3060 · Fax 812-353-3070

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Phone 812-918-5200

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