Provider Demographics
NPI:1790646222
Name:CROWDER, BRITTANY ESTELLE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ESTELLE
Last Name:CROWDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9985 PRITCHARD RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-2894
Mailing Address - Country:US
Mailing Address - Phone:904-378-4652
Mailing Address - Fax:904-378-4811
Practice Address - Street 1:9985 PRITCHARD RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-2894
Practice Address - Country:US
Practice Address - Phone:904-378-4652
Practice Address - Fax:904-378-4811
Is Sole Proprietor?:No
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist