Individual provider · Type 1 NPI
Jacqueline Nicole Brown Crawford
Family Nurse Practitioner · Philadelphia, PA
NPI number
1144102708
Active
Practice location
4640 E Roosevelt Blvd Ste 3
Philadelphia, PA 19124-2300
Mailing address
414 Jamie Dr
Rostraver Township, PA 15012-4314
Other practice locations
- 1543 Country Club Rd # A, Fairmont, WV 26554-1306 · (304) 363-2273
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 125944 (WV) |
| Family Nurse Practitioner Primary | 363LF0000X | SP033422 (PA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1144102708
Jacqueline Nicole Brown Crawford's National Provider Identifier is 1144102708, issued on Jul 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 23, 2026.