Crawford, Jennifer Reed

Crawford, Jennifer Reed is an individual health care provider with primary practice located at 600 Dr Michael Debakey Dr , Lake Charles LA 70601-5727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Crawford, Jennifer Reed can be contacted via phone (337) 436-3813.

Contact Information

Primary practice address
600 Dr Michael Debakey Dr Lake Charles LA 70601-5727
Phone: (337) 436-3813
Fax: (337) 439-0214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP04936 Louisiana

Profile Details

NPI number 1639110117
LBN Legal business name Crawford, Jennifer Reed
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 20th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639110117 NPPES
Louisiana MEDICAID 1529141

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