JENNIFER LYNN CROCKFORD FNP NPI 1023012531

NPI Information

NPI: 1023012531
Provider Name: JENNIFER LYNN CROCKFORD, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6161 KEMPSVILLE CLRCLE
STE 225
NORFOLK, VA
ZIP 23502
Phone: (757) 455-6368
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Jennifer Lynn Crockford, FNP is a family nurse practitioner in Norfolk, VA. Jennifer Lynn Crockford, FNP NPI is 1023012531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6161 KEMPSVILLE CLRCLE
STE 225
NORFOLK, VA
ZIP 23502
Phone: (757) 455-6368
Fax: (757) 455-6686

The enumeration date for this NPI number is 6/13/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024 069161	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	77933424	MEDICAID	VIRGINIA
2	7793324	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
3	S71687P	MEDICARE UPIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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