Individual
MRS. JAIME N CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 924-6650
(509) 922-5421
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30007066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9649187
—
WA
Enumeration date
09/13/2005
Last updated
01/22/2019
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