Active NPI
Jessica Dodds Crance, F.N.P.
- Family Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1427363977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN186759
- Practice address
- 9900 Bren Rd E
Minnetonka, MN 55343-9664 - Phone
- (229) 375-6469
- NPI assigned
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN186759 | GA | Primary |
Addresses
Primary practice location
9900 Bren Rd E
Minnetonka, MN 55343-9664
Mailing address
5095 Falling Springs Rd
Valdosta, GA 31602-5024
Phone (229) 375-6469
Other practice location 1
601 N Lee St
Valdosta, GA 31601-4725
Phone (229) 247-8025 ext. 232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN186759 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCH Medical Investors, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Nashville, GA
- NPI 1952557407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1427363977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5095 FALLING SPRINGS RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316025024",
"telephone_number": "229-375-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN RD E",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553439664",
"telephone_number": "229-375-6469"
}
],
"practiceLocations": [
{
"address_1": "601 N Lee St",
"address_purpose": "LOCATION",
"city": "Valdosta",
"state": "GA",
"postal_code": "316014725",
"country_code": "US",
"telephone_number": "229-247-8025 x232",
"fax_number": "229-245-8432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANCE",
"first_name": "JESSICA",
"middle_name": "DODDS",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN186759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.