Individual provider · Type 1 NPI

Caroline Caitlyn Crocker, PA-C

Medical Physician Assistant · Cordova, TN

NPI number 1174394688 Active

Practice location

57 Germantown Ct Ste 100
Cordova, TN 38018-4274

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5863 (TN)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1174394688

Caroline Caitlyn Crocker, PA-C's National Provider Identifier is 1174394688, issued on Jan 12, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cordova, TN. The record was last updated on Jan 31, 2024.