MEDICARE: MRS. JAMIE LYNN CRAWFORD FNP

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	APRN9480242	FL
2	363LF0000X	Family Nurse Practitioner	RN222081	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	W3219	OTHER	FL	HFMG
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528507282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE LYNN CRAWFORD FNP

Provider Business Mailing Address
First Line	:	PO BOX 15849
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31416-2549
Country	:	US
Telephone Number	:	912-303-3560
Fax Number	:	912-303-3506

Provider Business Practice Location Address
First Line	:	240 N WICKHAM RD STE 300
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8661
Country	:	US
Telephone Number	:	321-752-1588
Fax Number	:	321-752-1594

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

Provider Enumeration Date	:	02/14/2017
Last Update Date	:	03/09/2026

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