Crocker, Jacy Killian

Crocker, Jacy Killian is an sole proprietor health care provider with primary practice located at 401 Ferndale Blvd , High Point NC 27262-4739. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Crocker, Jacy Killian can be contacted via phone (336) 882-2567.

Contact Information

Primary practice address
401 Ferndale Blvd High Point NC 27262-4739
Phone: (336) 882-2567
Fax: (336) 882-2567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 230341 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 108810 North Carolina

Profile Details

NPI number 1528444080
LBN Legal business name Crocker, Jacy Killian
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2015
Last updated Jun 27th, 2025 - about last year

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 1528444080 NPPES
North Carolina Other 230341 RN

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