Individual provider · Type 1 NPI

Jacy Killian Crocker, RN

Certified Registered Nurse Anesthetist · High Point, NC

NPI number 1528444080 Active

Practice location

401 Ferndale Blvd
High Point, NC 27262-4739

Call (336) 882-2567 Map

Fax (336) 882-2567

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074

Other practice locations

  • 601 N Elm St, High Point, NC 27262-4331 · (336) 878-6000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X230341 (NC)
Certified Registered Nurse Anesthetist Primary 367500000X108810 (NC)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1528444080

Jacy Killian Crocker, RN's National Provider Identifier is 1528444080, issued on Aug 7, 2015. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in High Point, NC. The record was last updated on Jun 27, 2025.