Individual
TANISHA CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
29787 JOHN J WILLIAMS HWY UNIT 8, MILLSBORO, DE 19966-4097
(800) 818-8680
(866) 229-0237
Mailing address
29787 JOHN J WILLIAMS HWY UNIT 8, MILLSBORO, DE 19966-4097
(800) 818-8680
(866) 229-0237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001373
DE
Other
Enumeration date
03/25/2020
Last updated
11/20/2025
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