Individual provider · Type 1 NPI

Alexis Crockett

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1063207157 Active

Practice location

4201 Saint Antoine St # 5C
Detroit, MI 48201-2153

Call (313) 577-4342 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063207157

Alexis Crockett's National Provider Identifier is 1063207157, issued on Apr 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 10, 2025.