Individual
ALONDA E. CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2911 RIDGE RD, ROCKWALL, TX 75032-5804
(855) 925-4733
(217) 709-2345
Mailing address
2012 WELLINGTON PT, HEARTLAND, TX 75126-8288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130477
TX
363LF0000X
Family Nurse Practitioner
R877248
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06157353
—
MS
05
—
356006203
—
TX
Enumeration date
02/09/2012
Last updated
11/07/2016
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