Individual provider · Type 1 NPI

Jacqueline Susanne Crowell, NP

Nurse Practitioner · Myrtle Beach, SC

NPI number 1588174635 Active

Practice location

920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181

Call (843) 497-6348 Map

Fax (843) 497-6351

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X21275RX (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1588174635

Jacqueline Susanne Crowell, NP's National Provider Identifier is 1588174635, issued on Oct 3, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Feb 10, 2022.