Individual provider · Type 1 NPI
Jenna Crockett, APRN
Psychiatric/Mental Health Nurse Practitioner · Willoughby, OH
NPI number
1225374879
Active
Practice location
38882 Mentor Ave
Willoughby, OH 44094-7875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 348114 (OH) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP-14345 (OH) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1225374879
Jenna Crockett, APRN's National Provider Identifier is 1225374879, issued on Dec 28, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Willoughby, OH. The record was last updated on Dec 15, 2015.