Crump, Jacqueline Love

Crump, Jacqueline Love is an individual health care provider with primary practice located at 89 W Copeland Dr , Orlando FL 32806-2002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Crump, Jacqueline Love can be contacted via phone (321) 841-7550.

Contact Information

Primary practice address
89 W Copeland Dr Orlando FL 32806-2002
Phone: (321) 841-7550
Fax: (321) 841-8185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9192919 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9192919 Florida

Profile Details

NPI number 1780716431
LBN Legal business name Crump, Jacqueline Love
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Nov 16th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780716431 NPPES
Florida MEDICAID 308735200
Florida Other ARNP9192919

Popular Providers