JACKIE LYNNE CRAFT ANP NPI 1407290596

NPI Information

  • NPI: 1407290596
  • Provider Name: JACKIE LYNNE CRAFT, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 373 CECIL D QUILLEN DR STE 101
    373 CECIL D. QUILLEN DRIVE SUITE 101
    DUFFIELD, VA
    ZIP 24244
  • Phone: (276) 431-1638

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NPI Details

Jackie Lynne Craft, ANP is an adult health nurse practitioner in Duffield, VA. Jackie Lynne Craft, ANP NPI is 1407290596. 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:

373 CECIL D QUILLEN DR STE 101
373 CECIL D. QUILLEN DRIVE SUITE 101
DUFFIELD, VA
ZIP 24244-085
Phone: (276) 431-1638

The NPI 1407290596 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 4/19/2013 and was last updated on 4/21/2016.

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
1363LA2200XNurse PractitionerAdult Health0024170808VIRGINIAYes

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: 11/21/2025

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