Crockett, Alonda E.

Crockett, Alonda E. is an individual health care provider with primary practice located at 2911 Ridge Rd , Rockwall TX 75032-5804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crockett, Alonda E. can be contacted via phone (855) 925-4733.

Contact Information

Primary practice address
2911 Ridge Rd Rockwall TX 75032-5804
Phone: (855) 925-4733
Fax: (217) 709-2345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP130477 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R877248 Mississippi

Profile Details

NPI number 1992077713
LBN Legal business name Crockett, Alonda E.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2012
Last updated Nov 7th, 2016 - about 10 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 1992077713 NPPES
Mississippi MEDICAID 06157353
Mississippi MEDICAID 356006203

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