JESSICA ANN CROUCH FNP-C NPI 1265192256

NPI Information

NPI: 1265192256
Provider Name: JESSICA ANN CROUCH, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
960 E WALNUT LAWN ST STE 200
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-4450
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Jessica Ann Crouch, FNP-C is a family nurse practitioner in Springfield, MO. Jessica Ann Crouch, FNP-C NPI is 1265192256. 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:

960 E WALNUT LAWN ST STE 200
SPRINGFIELD, MO
ZIP 65807-865
Phone: (417) 269-4450

The NPI 1265192256 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 12/18/2021 and was last updated on 12/18/2021.

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	2021049828	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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