Individual
MELISSA LEANN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1770 LAKE CUMBERLAND RD, MOUNT VERNON, KY 40456-8431
(606) 256-7488
Mailing address
1770 LAKE CUMBERLAND RD, MOUNT VERNON, KY 40456-8431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4031606
KY
Other
Enumeration date
12/10/2024
Last updated
01/04/2025
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