Crump, Jarrod Vaughn

Crump, Jarrod Vaughn is an individual health care provider with primary practice located at 1672 S Woodsage Ave , Meridian ID 83642-8329. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Crump, Jarrod Vaughn can be contacted via phone (208) 515-2273.

Contact Information

Primary practice address
1672 S Woodsage Ave Meridian ID 83642-8329
Phone: (208) 515-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 63057 Idaho

Profile Details

NPI number 1184240194
LBN Legal business name Crump, Jarrod Vaughn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated Nov 2nd, 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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