Provider Type Icon

JESSICA LYNN CRULL FNP NPI 1700163771


NPI Information

NPI: 1700163771
Provider Name: JESSICA LYNN CRULL, FNP
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual
Address:
12905 ROSEDALE HILL AVENUE
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 801-1000
Get Directions

Jessica Lynn Crull, FNP is a nurse practitioner in Huntersville, NC. The provider is (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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Jessica Lynn Crull, FNP NPI is 1700163771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12905 ROSEDALE HILL AVENUE
HUNTERSVILLE, NC
ZIP 28078-328
Phone: (704) 801-1000
Fax: (704) 896-2861

The enumeration date for this NPI number is 11/4/2011 and was last updated on 1/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner5005386NORTH CAROLINAYes
2363LF0000XNurse PractitionerFamily207353NORTH CAROLINANo
3363LF0000XNurse PractitionerFamily5005386NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17006167MEDICAIDNORTH CAROLINA
2NC3570AMEDICARE PINNORTH CAROLINA
3NC3570DMEDICARE PINNORTH CAROLINA
4NP2522MEDICAIDSOUTH CAROLINA
51700163771MEDICAIDNORTH CAROLINA
6NC3570EMEDICARE PINNORTH CAROLINA
7NC3570BMEDICARE PINNORTH CAROLINA
8NC3570CMEDICARE PINNORTH CAROLINA
9NC3570FMEDICARE PINNORTH CAROLINA
10NC3570GMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.