MRS. JESSICA JEANES CRANE NP NPI 1235506510

NPI Information

NPI: 1235506510
Provider Name: MRS. JESSICA JEANES CRANE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
200 PATEWOOD DR
STE B350
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-4500
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MRS. Jessica Jeanes Crane, NP is a family nurse practitioner in Greenville, SC with 9 years of experience. MRS. Jessica Jeanes Crane, NP NPI is 1235506510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 PATEWOOD DR
STE B350
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-4500
Fax: (864) 454-4505

The NPI 1235506510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2015 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	19578	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP3454	MEDICAID	SOUTH CAROLINA
2	APPROVED	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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