Crocker, Jaime N

Crocker, Jaime N is an individual health care provider with primary practice located at 12606 E Mission Ave , Spokane Valley WA 99216-3421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crocker, Jaime N can be contacted via phone (509) 924-6650.

Contact Information

Primary practice address
12606 E Mission Ave Spokane Valley WA 99216-3421
Fax: (509) 922-5421
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007066 Washington

Profile Details

NPI number 1053306456
LBN Legal business name Crocker, Jaime N
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jan 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053306456 NPPES
Washington MEDICAID 9649187

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