Healthcare Provider Details

I. General information

NPI: 1811447097
Provider Name (Legal Business Name): JENNIFER ERIN CRUTCHFIELD HATTON APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER ERIN CRUTCHFIELD

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 ELM ST
LONDON OH
43140-2173
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 740-852-4100
  • Fax: 740-845-0323
Mailing address:
  • Phone: 740-852-4100
  • Fax: 740-845-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.020216
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP020216
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: