Most Relevant Information
Provider Data
| NPI Number: | 1003051418 |
| Provider Name: | MOLLY JEAN CROSSMAN WHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | 5004250 |
Most Important Dates
| Enumeration Date: | 12/15/2008 |
| Last Updated: | 03/29/2017 |
Provider Practice Location
1140 CARTHAGE ST
SANFORD
NC
273304161
Practice Location Phone/Fax
| Phone: | 9197752304 |
| Fax: | 9197754050 |
Provider Mailing Location
1140 CARTHAGE ST
SANFORD
NC
273304161
Provider Mailing Phone/Fax
| Phone: | 9197752304 |
| Fax: | 9197754050 |