Jessica Crowell, APRN
Nurse Practitioner, Family in Port Orange, FL. Individual provider (NPI-1).
NPI number1962003251
StatusActive
Last updated in NPPESNov 4, 2020
Details
- NPI
- 1962003251
- Entity type
- Individual (NPI-1)
- Name
- Jessica Crowell
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2020
- Certification date
- Nov 4, 2020
- Last updated
- Nov 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11010037 | FL | Yes |
Practice location
1690 Dunlawton Ave Ste 210Port Orange, FL 32127-8980
Phone 386-763-4920
Mailing address
5301 Peach Blossom BlvdPort Orange, FL 32128-7552
Phone 386-316-0637
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All 53 Family Nurse Practitioner providers in Port Orange · All 1,907 providers in Port Orange
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