Crocker, Jodi Cameron

Crocker, Jodi Cameron is an individual health care provider with primary practice located at 840 W Floyd Baker Blvd , Gaffney SC 29341-1845. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crocker, Jodi Cameron can be contacted via phone (864) 489-3300.

Contact Information

Primary practice address
840 W Floyd Baker Blvd Gaffney SC 29341-1845
Phone: (864) 489-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 232011 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23001 South Carolina

Profile Details

NPI number 1265984678
LBN Legal business name Crocker, Jodi Cameron
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2016
Last updated Mar 28th, 2024 - about 6 months 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 1265984678 NPPES
South Carolina Other SCF6436067 MEDICARE PIN
South Carolina Other SCF6436121 MEDICARE PIN
South Carolina Other SCF643J577 MEDICARE PIN
South Carolina MEDICAID NP6022 MEDICARE PIN
South Carolina Other SCF6435019 MEDICARE PIN
South Carolina Other SCF6436084 MEDICARE PIN

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