Provider Demographics
NPI:1811447097
Name:CRUTCHFIELD HATTON, JENNIFER ERIN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ERIN
Last Name:CRUTCHFIELD HATTON
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ERIN
Other - Last Name:CRUTCHFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:740-852-4100
Mailing Address - Fax:740-845-0323
Practice Address - Street 1:214 ELM ST
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:OH
Practice Address - Zip Code:43140-2173
Practice Address - Country:US
Practice Address - Phone:740-852-4100
Practice Address - Fax:740-845-0323
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP020216363LF0000X, 363LF0000X
OHAPRN.CNP.020216363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner