Doctor Name: | JEFFREY A CRAWFORD |
NPI Number: | 1437365095 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.R.N.P, |
License Number: | 0368408-28 |
Business Practice Address: | 25442 Al Highway 127 Elkmont, AL - 356206608 |
Business Phone Number: | 2567323712 |
Business Fax Number: | 2567323714 |
Mailing Address: | 25442 Al Highway 127, Po Box 449 ELKMONT |
State: | AL |
Postal Code: | 356206608 |
Phone Number: | 2567323712 |
Fax Number: | 2567323714 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 0368408-28 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |