MEDICARE: JENNIFER MICHELLE MCCRACKEN CRNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP012361	PA

General Provider Information

NPI Number	:	1336493196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER MICHELLE MCCRACKEN CRNP

Provider Business Mailing Address
First Line	:	140 RINEHART LN
Second Line	:
City	:	WAYNESBURG
State	:	PA
Zip	:	15370-3476
Country	:	US
Telephone Number	:	724-627-6096
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 ELM DR
Second Line	:	SUITE 101
City	:	WAYNESBURG
State	:	PA
Zip	:	15370-8265
Country	:	US
Telephone Number	:	724-627-0926
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2012
Last Update Date	:	05/19/2026

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