Crockett, Shakisha

Crockett, Shakisha is an individual health care provider with primary practice located at 4102 22Nd Pl , Lubbock TX 79410-1122. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crockett, Shakisha can be contacted via phone (806) 725-0237.

Contact Information

Primary practice address
4102 22Nd Pl Lubbock TX 79410-1122
Phone: (806) 725-0237
Fax: (806) 725-1030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP141546 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP141546 Texas

Profile Details

NPI number 1740834993
LBN Legal business name Crockett, Shakisha
Credentials MSN,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2019
Last updated Aug 13th, 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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