Healthcare Provider Details

I. General information

NPI: 1245540608
Provider Name (Legal Business Name): JO ANNE CRAWFORD CPM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 09/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4513 MCGILL TER
HOOVER AL
35226-6382
US

IV. Provider business mailing address

4513 MCGILL TER
HOOVER AL
35226-6382
US

V. Phone/Fax

Practice location:
  • Phone: 443-536-2025
  • Fax:
Mailing address:
  • Phone: 443-536-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number0129000099
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM-0009
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: