Crawford, Stephanie Melinda

Crawford, Stephanie Melinda is an individual health care provider with primary practice located at 480 W Lowder St , Macclenny FL 32063-2664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crawford, Stephanie Melinda can be contacted via phone (904) 259-6291.

Contact Information

Primary practice address
480 W Lowder St Macclenny FL 32063-2664
Phone: (904) 259-6291
Fax: (904) 259-4761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9231972 Florida

Profile Details

NPI number 1508140484
LBN Legal business name Crawford, Stephanie Melinda
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2011
Last updated Feb 11th, 2014 - about 11 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 1508140484 NPPES
Florida MEDICAID 004410700

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