Individual
CALLIE CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684-2523
(423) 926-1171
Mailing address
LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19776
TN
Other
Enumeration date
03/20/2015
Last updated
08/21/2023
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