Individual provider · Type 1 NPI

Shakisha Crockett, MSN, FNP-C

Family Nurse Practitioner · Lubbock, TX

NPI number 1740834993 Active

Practice location

4102 22nd Pl
Lubbock, TX 79410-1122

Fax (806) 725-1030

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP141546 (TX)
Pediatric Nurse Practitioner 363LP0200XAP141546 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1740834993

Shakisha Crockett, MSN, FNP-C's National Provider Identifier is 1740834993, issued on Jul 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lubbock, TX. The record was last updated on Aug 13, 2025.