JESSICA CROCKER


Address: 210 Ne Tudor Rd, Lees Summit, MO 64086-5696
Phone: 8882563814

JESSICA CROCKER (NPI# 1164942694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164942694
Entity Type Individual
Full Name JESSICA CROCKER
Practice Address 210 Ne Tudor Rd
Lees Summit
MO 64086-5696
Practice Telephone 8882563814
Enumeration Date 2017-06-26
Last Update Date 2017-08-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2017021767 MO Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
2015040563 MO Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
14-123272-031 KS Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA CROCKER

NPI Name Taxonomy Address Enumeration
1326536657 Jessica Crocker Physical Therapist 88 Harbor Dr, Saco, ME 04072-2148 2018-04-23
1487192886 Jessica Ann Crocker Chiropractor 1440 W Republic Rd Ste 112, Springfield, MO 65807 2017-02-06

Office Location

Street Address 210 NE TUDOR RD
City LEES SUMMIT
State MO
Zip Code 64086-5696

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013905520 Robert Francis Dorsey Family Medicine 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2005-10-10
1992324370 Chasidy Darnell Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2020-04-15
1447801493 Hollie Meyer Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2019-09-21
1679134423 Laura Naomi Miller Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2019-06-24
1356803688 Dana Michelle Denson Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2019-04-04
1376033027 Heather Louise Parrish Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086 2018-05-17
1811405525 Jennifer Radcliff Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2018-01-16
1780117952 Valicia Kay Kirby Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2017-04-05
1659819688 James Burrow Jr. Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2017-02-10
1063956910 Denise Frances Flynn Nurse Practitioner 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 2016-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740821057 David L Harrison Pharmacist 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 2019-10-08
1770069403 Foster Family Pharmacy Pharmacy 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 2018-07-16
1255716221 Summit Eye Center, LLC Ophthalmology 1621 Nw Blue Parkway, Lees Summit, MO 64086 2015-07-20
1679954085 Day By Day Staff Relief, LLC Hospice Care, Community Based 943 Ne Columbus Street, Lees Summit, MO 64086 2015-06-11
1831505544 Johnathan Almeida Emergency Medicine 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 2014-07-02
1215358429 Alex Sharifian Dds Summit Modern Dentistry PC Dentist 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 2013-12-16
1477807303 Lauren M Lee Nurse Practitioner 1425 Nw Blue Parkway, Lee's Summit, MO 64086 2012-10-30
1396016507 Retha Rene Rudloff General Practice 1728 N.e. Misty Lane, Lee's Summit, MO 64086 2012-01-19
1629351200 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 691 Nw Blue Pkwy, Lees Summit, MO 64086 2011-09-21
1497054308 Jennifer Nelson Physical Therapist 301 Ne Tudor, Lee's Summit, MO 64086 2011-03-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467052381 Kristin Nersesyan Nurse Practitioner 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 2020-10-29
1659979169 Samantha Rose Morris Nurse Practitioner 1980 Se Blue Pkwy Ste 2320, Lees Summit, MO 64063-1102 2020-10-16
1578173712 Valerie De Jong Nurse Practitioner 1611 Se Boone Trl, Lees Summit, MO 64063-6023 2020-08-03
1255958369 Amara Sluder Nurse Practitioner 1029 Ne Bluff Cir, Lees Summit, MO 64086-4955 2020-07-06
1457971905 Rujira Renick Nurse Practitioner 100 Ne Missouri Rd Ste 202, Lees Summit, MO 64086-4716 2020-04-24
1417501255 Nicole Hamilton Nurse Practitioner 303 Nw Central St, Lees Summit, MO 64063-1920 2019-07-30
1932683836 Rene Russell Nurse Practitioner 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 2018-09-18
1104327576 Molly Moore Mcgraw Davidson Nurse Practitioner 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 2018-02-21
1225537665 Crystal Sheets Nurse Practitioner 1221 Se 12th St, Lees Summit, MO 64081-2905 2018-02-12
1295257277 Sara Barnett Nurse Practitioner 100 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6000 2017-07-12
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Competitor

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City LEES SUMMIT
Zip Code 64086

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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