Doctor Name: | JENNIFER L CRAIG |
NPI Number: | 1093050759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP012593 |
Business Practice Address: | 1776 E Lancaster Ave Paoli, PA - 193011550 |
Business Phone Number: | 4017701707 |
Business Fax Number: | |
Mailing Address: | 44 Windsor Ct, LANSDALE |
State: | PA |
Postal Code: | 194461239 |
Phone Number: | 2677335779 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2012 |
NPI Last Update Date: | 12/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | SP012593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |