Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | C-APN.0001167-C-NP | CO |
NPI | 1023445897 |
---|---|
Provider Name | Jennifer June Crowe |
First Address | Grand Junction, CO 81502-1727 |
Second Address | Grand Junction, CO 81506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2013 |
Last Update Date | 19/08/2019 |