Provider Demographics
NPI:1699709709
Name:CHAPMAN, JENNY CRAWFORD (MD)
Entity type:Individual
Prefix:DR
First Name:JENNY
Middle Name:CRAWFORD
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 BAILEY COVE RD SE STE 13
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-2635
Mailing Address - Country:US
Mailing Address - Phone:256-880-6138
Mailing Address - Fax:
Practice Address - Street 1:7900 BAILEY COVE RD SE # 7
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-3324
Practice Address - Country:US
Practice Address - Phone:256-261-3340
Practice Address - Fax:256-261-3337
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00024897207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51527975OtherBCBS AL
AL7770526OtherAETNA
AL051527975Medicaid
AL051527975Medicaid
AL051527975Medicare ID - Type Unspecified