National Provider Identifier
Jodi Crouse, AGPCNP
Jodi Crouse, AGPCNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Elmira, NY and a listed phone number of (607) 873-1832.
Profile Overview
- NPI
- 1770003428
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- June 23, 2017
- Last Updated
- November 24, 2020
Practice Location
- 200 Madison Ave Ste 1D
- Elmira, NY 14901-3219
Phone: (607) 873-1832
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Nurse Practitioner (363L00000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1770003428
- Entity Type
- Individual
- Last Name
- Crouse
- First Name
- Jodi
- Credential
- AGPCNP
- Provider Other Last Name
- Szerszen
- Provider Other First Name
- Jodi
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 200 Madison Ave Ste 1D
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3219
- Practice Country
- US
- Practice Phone
- (607) 873-1832
- Practice Fax
- (607) 873-1833
- Enumeration Date
- June 23, 2017
- Last Updated
- November 24, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 24, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X), Registered Nurse (163W00000X)
- Other Identifiers
- 04966607 (NY)