Individual provider · Type 1 NPI

Roy Edward Crumley-Forest, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1912095233 Active

Practice location

3129 Hendricks Avenue
Jacksonville, FL 32207-4217

Fax (904) 396-4803

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XARNP 1560042 (FL)

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 1912095233

Roy Edward Crumley-Forest, ARNP's National Provider Identifier is 1912095233, issued on Oct 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 22, 2010.