Alba Crockett in Jackson - Licensed Practical Nurse
Alba Crockett - NPI 1073620977
Alba Crockett is a Licensed Practical Nurse in Jackson, Tennessee. Alba Crockett practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Alba Crockett is 1073620977. The last update date is 2008-02-15.
Alba Crockett's current location address is 238 Summar Dr, Jackson, Tennessee. You can contact this provider via phone number 7319358200 and fax number 7319358327. The mailing address for Alba Crockett is 238 Summar Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alba Crockett |
|---|---|
| Address | 238 Summar Dr, Jackson, Tennessee |
| Phone Number | 7319358200 |
| Fax Number | 7319358327 |
| Sole Proprietor | N |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1073620977 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | 238 Summar Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383013906 |
| Phone Number | 7319358200 |
| Fax Number | 7319358327 |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 23012 |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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What is the Alba Crockett's 1073620977?
The Alba Crockett's NPI (National Provider Identifier) Number is 1073620977. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Alba Crockett located?
The Alba Crockett is located at 238 Summar Dr, Jackson, TN 383013906.
What is Alba Crockett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Alba Crockett's area of specialization is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this field of practice is 164W00000X.
On what date was the 1073620977 assigned to Alba Crockett?
The Alba Crockett was issued its 1073620977 on 2006-08-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Alba Crockett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Alba Crockett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-15.
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