Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA NICHOLE CROCKER
ActiveJESSICA NICHOLE CROCKER is a 2279S1500X healthcare provider located in LAURENS, South Carolina. NPI 1649046327 is currently active in the NPPES registry. Verify at CMS.
2279S1500X · LAURENS, SC
Registration Details
- NPI Number
- 1649046327
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 4, 2023 (2.7089035363848 yrs)
- Last Updated
- Dec 4, 2023
- License
-
RCP4620 (SC)
Practice Information
- Address
-
5709 HIGHWAY 76 WLAURENS, SC, 293606834Browse SC providers · Browse ZIP 29360
- Phone
- 8649230090
- Primary Specialty
-
2279S1500X
2279S1500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.