Provider Demographics
NPI:1245540608
Name:CRAWFORD, JO ANNE (CPM, LM)
Entity type:Individual
Prefix:
First Name:JO
Middle Name:ANNE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 MCGILL TER
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6382
Mailing Address - Country:US
Mailing Address - Phone:443-536-2025
Mailing Address - Fax:
Practice Address - Street 1:4513 MCGILL TER
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-6382
Practice Address - Country:US
Practice Address - Phone:443-536-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
VA0129000099176B00000X
ALLM-0009176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula