Cross, Jacalyn Marie
Cross, Jacalyn Marie is an individual health care provider with primary practice located at 801 Ohiohealth Blvd Suite 260, Delaware OH 43015-1495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cross, Jacalyn Marie can be contacted via phone (740) 615-0500.Contact Information
Primary practice address
801 Ohiohealth Blvd Suite 260
Delaware OH 43015-1495
Phone: (740) 615-0500
Fax: (740) 615-0501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA.11717-NP | Ohio |
Profile Details
| NPI number | 1922315845 |
|---|---|
| LBN Legal business name | Cross, Jacalyn Marie |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2010 |
| Last updated | Jan 31st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922315845 | NPPES |
| Ohio | MEDICAID | 3157524 |
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