1376771097 NPI number — MRS. JENNY HOWARD CRANCE R.N., N.P.

Table of content: MRS. JENNY HOWARD CRANCE R.N., N.P. (NPI 1376771097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376771097 NPI number — MRS. JENNY HOWARD CRANCE R.N., N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CRANCE
Provider First Name:
JENNY
Provider Middle Name:
HOWARD
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.N., N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HOWARD
Provider Other First Name:
JENNY
Provider Other Middle Name:
SCHRIVER
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
R.N.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376771097
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
448 INSTITUTE HILL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24450-2149
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-464-7218
Provider Business Mailing Address Fax Number:
540-464-7707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
448 INSTITUTE HL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24450-2149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-464-7218
Provider Business Practice Location Address Fax Number:
540-464-7707
Provider Enumeration Date:
07/01/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  0024168363 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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