Crane, Jessica Jeanes

Crane, Jessica Jeanes is an individual health care provider with primary practice located at 200 Patewood Dr Ste B350, Greenville SC 29615-3593. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crane, Jessica Jeanes can be contacted via phone (864) 454-4500.

Contact Information

Primary practice address
200 Patewood Dr Ste B350 Greenville SC 29615-3593
Phone: (864) 454-4500
Fax: (864) 454-4505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19578 South Carolina

Profile Details

NPI number 1235506510
LBN Legal business name Crane, Jessica Jeanes
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2015
Last updated May 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235506510 NPPES
South Carolina MEDICAID NP3454
South Carolina MEDICAID APPROVED

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