Raines, Crystal Branan

Raines, Crystal Branan is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Raines, Crystal Branan can be contacted via phone (904) 244-3508.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 244-3508
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 9438366 Florida
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 9438366 Florida

Profile Details

NPI number 1740722859
LBN Legal business name Raines, Crystal Branan
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2016
Last updated Jan 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740722859 NPPES
Georgia MEDICAID 003184890A
Georgia MEDICAID 019365400

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