| Doctor Name: | MRS. JILL ELIZABETH CROSSMAN |
| NPI Number: | 1053685156 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 4704229458 |
| Business Practice Address: | 30800 Telegraph Rd Ste 2800 Bingham Farms, MI - 480254542 |
| Business Phone Number: | 2485930100 |
| Business Fax Number: | 2485930200 |
| Mailing Address: | 30800 Telegraph Rd, Ste 2800 BINGHAM FARMS |
| State: | MI |
| Postal Code: | 480254542 |
| Phone Number: | 2485930100 |
| Fax Number: | 2485930200 |
| NPI Enumeration Date: | 03/07/2012 |
| NPI Last Update Date: | 03/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 4704229458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |