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Contact Information

JILLIAN CROUCHLEY, MD
4420 LAKE BOONE TRL
RALEIGH, NC27607-7505
 Phone: 919-784-3003
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JILLIAN CROUCHLEY · (Female)

NPI # 1518184415
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2007
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2009-00428
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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