Crocker, Lerryn U

Crocker, Lerryn U is an individual health care provider with primary practice located at 25 Hospital Center Blvd , Hilton Head Island SC 29926-2738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Crocker, Lerryn U can be contacted via phone (843) 784-8224.

Contact Information

Primary practice address
25 Hospital Center Blvd Hilton Head Island SC 29926-2738
Phone: (843) 784-8224
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN059534 CNS/PMH NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN059534 CNS/PMH NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 22182 South Carolina

Profile Details

NPI number 1891785523
LBN Legal business name Crocker, Lerryn U
Credentials ADN BSN MSN FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated May 20th, 2019 - about 5 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 1891785523 NPPES
Georgia MEDICAID 000970109A
Georgia MEDICAID 00970109A

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