Individual provider · Type 1 NPI

Alba Crockett, LPN

Licensed Practical Nurse · Jackson, TN

NPI number 1073620977 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Fax (731) 935-8327

Mailing address

1804 Highway 45 Byp, Ste 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X23012 (TN)
Case Manager/Care Coordinator 171M00000XNone listed

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1073620977

Alba Crockett, LPN's National Provider Identifier is 1073620977, issued on Aug 24, 2006. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jackson, TN. The record was last updated on Feb 15, 2008.