| Doctor Name: | MRS. REBECCA JEAN CRANFORD |
| NPI Number: | 1134475429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | F0612248 |
| Business Practice Address: | 17520 Old Jefferson Hwy Prairieville, LA - 707693929 |
| Business Phone Number: | 2256738983 |
| Business Fax Number: | 2256778983 |
| Mailing Address: | 17520 Old Jefferson Hwy, PRAIRIEVILLE |
| State: | LA |
| Postal Code: | 707693929 |
| Phone Number: | 2256738983 |
| Fax Number: | 2256778983 |
| NPI Enumeration Date: | 07/24/2012 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F0612248 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |