person
Clay Justin Crockett, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Buckeye, Arizona
NPI 1164120150

Clay Justin Crockett is a Psychiatric/Mental Health Nurse Practitioner based in Buckeye, AZ and is specialized in Psychiatric/Mental Health. Clay Justin Crockett practices in Buckeye, AZ and has the professional credentials of PMHNP-BC. The NPI Number for Clay Justin Crockett is 1164120150 and holds a License No. RN197246 (Arizona).

The current practice location address for Clay Justin Crockett is 1820 N 202Nd Ave, Buckeye, AZ and can be reached out via phone at 602-820-3201. You can also correspond with Clay Justin Crockett through the mailing address at 1820 N 202ND AVE, BUCKEYE, AZ - 85396-8712 (mailing address contact number: 602-820-3201).

Location: 1820 N 202Nd Ave, Buckeye, AZ, 85396-8712
person
Provider Profile Details
NPI Number
1164120150
Provider Name
Clay Justin Crockett
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1820 N 202Nd Ave, Buckeye, AZ, 85396-8712
Phone Number
602-820-3201
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
138626 05 AZ
institution
Provider Business Practice Location Address Details
Address
1820 N 202Nd Ave
City
State
Zip
85396-8712
Phone Number
602-820-3201
Fax Number
person
Provider Business Mailing Address Details
Address
1820 N 202Nd Ave
City
State
Zip
85396-8712
Phone Number
602-820-3201
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
294847 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN197246 (Arizona)
Definition
Definition to come...
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