Crull, Jessica Lynn

Crull, Jessica Lynn is an individual health care provider with primary practice located at 12905 Rosedale Hill Avenue , Huntersville NC 28078-0328. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Crull, Jessica Lynn can be contacted via phone (704) 801-1000.

Contact Information

Primary practice address
12905 Rosedale Hill Avenue Huntersville NC 28078-0328
Phone: (704) 801-1000
Fax: (704) 896-2861
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005386 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5005386 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 207353 North Carolina

Profile Details

NPI number 1700163771
LBN Legal business name Crull, Jessica Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2011
Last updated Jan 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700163771 NPPES
North Carolina MEDICAID 7006167
North Carolina MEDICAID 1700163771
North Carolina MEDICAID NP2522

Popular Providers