JENNIFER DANIELLE MCCRAW AGACNP NPI 1730804147

NPI Information

  • NPI: 1730804147
  • Provider Name: JENNIFER DANIELLE MCCRAW, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 971 LAKELAND DR STE 356
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 200-4644

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NPI Details

Jennifer Danielle Mccraw, AGACNP is an acute care nurse practitioner in Jackson, MS with 4 years of experience. Jennifer Danielle Mccraw, AGACNP NPI is 1730804147. 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:

971 LAKELAND DR STE 356
JACKSON, MS
ZIP 39216-607
Phone: (601) 200-4644

The NPI 1730804147 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 10/7/2022 and was last updated on 3/26/2024.

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
1363LA2100XNurse PractitionerAcute Care905614MISSISSIPPIYes

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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