Doctor Name: | MISS MOLLY JEAN CROSSMAN |
NPI Number: | 1003051418 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP-BC |
License Number: | 5004250 |
Business Practice Address: | 2280 S Church St Suite 201 Burlington, NC - 272155396 |
Business Phone Number: | 3365382014 |
Business Fax Number: | |
Mailing Address: | 2280 S Church St, Suite 201 BURLINGTON |
State: | NC |
Postal Code: | 272155396 |
Phone Number: | 3365382014 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2008 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 5004250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |