Individual
KEEGAN CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11650 LANTERN RD STE 134, FISHERS, IN 46038-3101
(317) 992-1988
(317) 981-1694
Mailing address
9130 OTIS AVE STE A, INDIANAPOLIS, IN 46216-2032
(317) 992-2910
(317) 981-1490
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71009042A
IN
Other
Enumeration date
11/28/2013
Last updated
12/15/2023
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