Crank, Jill Antoinette
Crank, Jill Antoinette is an individual health care provider with primary practice located at 2700 Remington Ave Ste 2000 , Baltimore MD 21211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Crank, Jill Antoinette can be contacted via phone (667) 312-2400.Contact Information
Primary practice address
2700 Remington Ave Ste 2000
Baltimore MD 21211
Phone: (667) 312-2400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | R170775 | Maryland |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R170775 | Maryland |
Profile Details
NPI number | 1033396882 |
---|---|
LBN Legal business name | Crank, Jill Antoinette |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2008 |
Last updated | Jun 5th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033396882 | NPPES |
Maryland | MEDICAID | 132190100 |
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