Provider Demographics
NPI:1699837005
Name:CREWS, ROSLYN JILL (PEDIATRIC NP)
Entity Type:Individual
Prefix:MRS
First Name:ROSLYN
Middle Name:JILL
Last Name:CREWS
Suffix:
Gender:F
Credentials:PEDIATRIC NP
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Mailing Address - Street 1:PO BOX 5404
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71307
Mailing Address - Country:US
Mailing Address - Phone:318-443-9634
Mailing Address - Fax:318-443-9809
Practice Address - Street 1:2226 WORLEY DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301
Practice Address - Country:US
Practice Address - Phone:318-443-9634
Practice Address - Fax:318-443-9809
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics