Doctor Name: | MS. JIMMIE H MCCRAW |
NPI Number: | 1154332872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | RN057048 |
Business Practice Address: | 326b South Ocotillo Benson, AZ - 85602 |
Business Phone Number: | 5205861015 |
Business Fax Number: | |
Mailing Address: | 326b South Ocotillo, BENSON |
State: | AZ |
Postal Code: | 85602 |
Phone Number: | 5205861015 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | RN057048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |