Jennifer Anne Crossan, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP011534 Issued in PA

Practice address

163 Penns Manor Dr
Kennett Square, PA 19348-4713

Phone

(610) 212-7210

NPI assigned

Oct 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1326322355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 PENNS MANOR DR",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193484713",
            "telephone_number": "610-212-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 PENNS MANOR DR",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193484713",
            "telephone_number": "610-212-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSAN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP011534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Coughlan
• Shandolyn Cowan, COTA
• Kelly E Craig, PT
• Gary Cramer III, DMD
• Amanda Marie Creadon, MS CCC-SLP
• Cure Ambulance, Inc.
• Beth Curtis
• Nicole Cusa, M.P.T.
• Marissa D'Ambrosio
• Nicholas Angelo D'Amico

• Pediatric Nurse Practitioner in Kennett Square, PA
• Providers in Kennett Square, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.