NPI 1073620977
Alba Crockett, LPN
Practice location
- Address
- 238 Summar Dr, Jackson, TN 38301-3906
- Phone
- (731) 935-8200
- Fax
- (731) 935-8327
- Mailing address
- 1804 Highway 45 Byp STE 604, Jackson, TN 38305-4436
Registered specialties (2)
Licensed Practical Nurse
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1073620977
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Aug 2006
- Record last updated
- 15 Feb 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.