Provider Demographics
NPI:1518520923
Name:CROWL, JASON DONALD (NP)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:DONALD
Last Name:CROWL
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4C NORTH AVE STE 403
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2333
Mailing Address - Country:US
Mailing Address - Phone:443-567-6320
Mailing Address - Fax:
Practice Address - Street 1:4C NORTH AVE STE 403
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2333
Practice Address - Country:US
Practice Address - Phone:443-567-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDF03190446363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily