Cross, Jacalyn Marie

Cross, Jacalyn Marie is an individual health care provider with primary practice located at 801 Ohiohealth Blvd Suite 260, Delaware OH 43015-1495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cross, Jacalyn Marie can be contacted via phone (740) 615-0500.

Contact Information

Primary practice address
801 Ohiohealth Blvd Suite 260 Delaware OH 43015-1495
Phone: (740) 615-0500
Fax: (740) 615-0501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.11717-NP Ohio

Profile Details

NPI number 1922315845
LBN Legal business name Cross, Jacalyn Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2010
Last updated Jan 31st, 2022 - about 2 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 1922315845 NPPES
Ohio MEDICAID 3157524

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