Individual provider · Type 1 NPI
Heather Marie Evelyn Crockett
Registered Nurse · Rome, GA
Practice location
50 Chateau Dr SE Apt I4
Rome, GA 30161-6664
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | RN300735 (GA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1265341655
Heather Marie Evelyn Crockett's National Provider Identifier is 1265341655, issued on Sep 2, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Rome, GA. The record was last updated on Sep 2, 2026.