Individual
MS. DONNA LYNN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-BC, FNP
Contact information
Practice address
1911 HAMPTON ST, COLUMBIA, SC 29201-3535
(803) 256-1511
(803) 256-7333
Mailing address
1911 HAMPTON ST, COLUMBIA, SC 29201-3535
(803) 256-1511
(803) 256-7333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3541
SC
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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