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Individual
LERRYN U CROCKER
Active
Individual
LERRYN U CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADN BSN MSN FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN059534 CNS/PMH NP
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22182
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN059534 CNS/PMH NP
GA
Other
Enumeration date
10/25/2005
Last updated
05/20/2019
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