Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Nicole Brown Crawford

Individual provider Family Nurse Practitioner · NPI 1144102708

Jacqueline Nicole Brown Crawford is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Pennsylvania and West Virginia.

Years since qualifying
1
Licensed in
PA, WV
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

4640 E Roosevelt Blvd Ste 3
Philadelphia, PA 19124-2300
Phone: (215) 315-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1543 Country Club Rd # A, Fairmont, WV 26554-1306 — (304) 363-2273

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP033422 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 125944 (WV)

Record details

NPI number1144102708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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