Individual
DONNA CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
160 N EAGLE CREEK DR STE 302, LEXINGTON, KY 40509-2124
(859) 967-5044
(859) 967-5041
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 967-5041
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
4042815
KY
363LF0000X
Family Nurse Practitioner
Primary
4042815
KY
Other
Enumeration date
06/26/2025
Last updated
07/18/2025
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