Crockett, Jason Wesley

Crockett, Jason Wesley is an individual health care provider with primary practice located at 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1 , Durham NC 27710. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Crockett, Jason Wesley can be contacted via phone (919) 668-8108.

Contact Information

Primary practice address
20 Duke Medicine Circle Duke Cancer Center Clinic 5-1 Durham NC 27710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 250967 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5009668 North Carolina
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 5009668 North Carolina

Profile Details

NPI number 1922543131
LBN Legal business name Crockett, Jason Wesley
Credentials MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2016
Last updated Sep 17th, 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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