Crutchfield, Emily Ryan

Crutchfield, Emily Ryan is an individual health care provider with primary practice located at 841 Prudential Dr Ste 280 , Jacksonville FL 32207-8350. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Crutchfield, Emily Ryan can be contacted via phone (904) 202-8550.

Contact Information

Primary practice address
841 Prudential Dr Ste 280 Jacksonville FL 32207-8350
Phone: (904) 202-8550
Fax: (904) 393-7808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9277619 Florida

Profile Details

NPI number 1336462985
LBN Legal business name Crutchfield, Emily Ryan
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2010
Last updated Aug 18th, 2023 - about last year

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 1336462985 NPPES
Florida MEDICAID 002723400

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