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MRS. JENNIFER JOY CROOKS FNP-BC

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1780281477

Individual Registrant:
MRS. JENNIFER JOY CROOKS FNP-BC
Gender: F
Sole Proprietor

Location and contact information for practice:
1810 STADIUM DR STE 210  PHENIX CITY, AL 36867-3179 US
Tel: 334-291-5255  Fax: 877-395-0710

Contact information for business:
195 HAMILTON MULBERRY GROVE RD  CATAULA, GA 31804-2503 US
Tel: --  Fax: --

Registration Information:
NPI: 1780281477
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN238307
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL3-000112

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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