Crockett, Shelli R
Crockett, Shelli R is an individual health care provider with primary practice located at 870 W Hickpochee Ave Ste 100 , Labelle FL 33935-4315. 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, Shelli R can be contacted via phone (239) 303-1501.Contact Information
Primary practice address
870 W Hickpochee Ave Ste 100
Labelle FL 33935-4315
Phone: (239) 303-1501
Fax: (888) 803-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024164715 | Virginia |
Profile Details
| NPI number | 1366548430 |
|---|---|
| LBN Legal business name | Crockett, Shelli R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Mar 29th, 2024 - about 2 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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