Crockett, Bridget R

Crockett, Bridget R is an individual health care provider with primary practice located at 112 Brantly Road , Searcy AR 72143-6113. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crockett, Bridget R can be contacted via phone (501) 268-6102.

Contact Information

Primary practice address
112 Brantly Road Searcy AR 72143-6113
Phone: (501) 268-6102
Fax: (501) 268-4445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ATP-000160 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03144 Arkansas

Profile Details

NPI number 1952566440
LBN Legal business name Crockett, Bridget R
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Mar 24th, 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 1952566440 NPPES
Arkansas MEDICAID 176018758

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