Provider Demographics
NPI:1497858344
Name:THOMAS-CRISCI, JENNIFER JO (ACNP-BC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JO
Last Name:THOMAS-CRISCI
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:J
Other - Last Name:BAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:200 LOTHROP STREET
Mailing Address - Street 2:C-900
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-648-6315
Mailing Address - Fax:412-802-8020
Practice Address - Street 1:200 LOTHROP ST.
Practice Address - Street 2:C-900
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-648-6315
Practice Address - Fax:412-802-8020
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX810110363LA2100X
PATP006934M363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care