Individual provider · Type 1 NPI

Joshua Lewis Crockett, PA-C

Physician Assistant · Provo, UT

NPI number 1619559960 Active

Practice location

1157 N 300 W Ste 201
Provo, UT 84604-6124

Call (801) 357-1200 Map

Mailing address

1055 N 500 W, Att Credentialing
Provo, UT 84604

Other practice locations

  • 700 W 800 N Ste 100, Orem, UT 84057-6301 · (801) 373-7350
  • 1055 N 500 W Ste 121, Provo, UT 84604-3305 · (801) 373-7350

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X12254634-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619559960

Joshua Lewis Crockett, PA-C's National Provider Identifier is 1619559960, issued on Apr 26, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Jul 17, 2025.