Jacqueline Nicole Brown Crawford

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP033422 Issued in PA

Practice address

4640 E Roosevelt Blvd Ste 3
Philadelphia, PA 19124-2300

Phone

(215) 315-1414

NPI assigned

Jul 24, 2025

Last updated

Apr 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geps Physician Group of Pennsylvania PC

  • Internal Medicine Physician
  • Kennett Square, PA
  • NPI 1467471615

  Family

  Medicare reassignment NPD
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  PA

  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  PA, WV

  Medicare reassignment NPD
• Alignmed Medical Group WV, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Fairmont, WV
  • NPI 1003647462
  Medicare reassignment
• Geps Physician Group of West Virginia PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Follansbee, WV
  • NPI 1457729212
  Medicare reassignment
• Geps Physician Group of Pennsylvania, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Avondale, AZ
  • NPI 1851774897
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1144102708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 JAMIE DR",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124314",
            "telephone_number": "724-255-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 E ROOSEVELT BLVD STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242300",
            "telephone_number": "215-315-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 Country Club Rd # A",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541306",
            "country_code": "US",
            "telephone_number": "304-363-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN CRAWFORD",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "125944",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Broussard
• Veronique Broussard
• Kelly Stiles Brower, M.D.
• Deontae Brown Barnum, CCHW
• Janelle Eiko Brown Bratsch, M.D.
• Brown Eye Care LLC
• Laura Jane Brown Kochman, MSS, LSW
• Marie Brown-Farley, PA-C
• Belinda Brown-Joseph, D.M.D.,M.S.
• Jessica Brown-Korsah, MD

• Family Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.