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
Phone: (509) 924-6650
Fax: (509) 922-5421
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053306456 | NPPES |
Washington | MEDICAID | 9649187 |
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