Crockett, Jenna

Crockett, Jenna is an individual health care provider with primary practice located at 38882 Mentor Ave , Willoughby OH 44094-7875. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Crockett, Jenna can be contacted via phone (440) 953-9999.

Contact Information

Primary practice address
38882 Mentor Ave Willoughby OH 44094-7875
Phone: (440) 953-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 348114 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP-14345 Ohio

Profile Details

NPI number 1225374879
LBN Legal business name Crockett, Jenna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2012
Last updated Dec 15th, 2015 - about 9 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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