NPI 1750914065 · live from the CMS NPI Registry
Jeanette Olivia Craven
Nurse Practitioner, Pediatrics in Huntsville, AL. National Provider Identifier 1750914065, active.
NPI record
| NPI | 1750914065 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 635 Discovery Dr Nw, Huntsville, AL 35806 |
| Practice phone | 256-428-7560 |
| Enumerated | February 14, 2020 |
| Last updated | September 2, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1-173715 (AL) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-173715 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.