Individual
JESSICA CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
16401 POPLAR AVE, KANSAS CITY, MO 64136-1287
(816) 519-0326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14-123272-031
KS
363LF0000X
Family Nurse Practitioner
2015040563
MO
363LF0000X
Family Nurse Practitioner
Primary
2017021767
MO
Other
Enumeration date
06/26/2017
Last updated
11/04/2025
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