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Robert David Crockett, FNP
Family Nurse Practitioner in Fayetteville, Arkansas
NPI 1801883475

Robert David Crockett is a Family Nurse Practitioner based in Springfield, AR and is specialized in Family. Robert David Crockett practices in Fayetteville, AR and has the professional credentials of FNP. The NPI Number for Robert David Crockett is 1801883475 and holds a License No. 2000160927 (Arkansas).

The current practice location address for Robert David Crockett is 1100 N College Ave, Fayetteville, AR and can be reached out via phone at 615-355-3451.

Location: 1100 N College Ave, Fayetteville, AR, 65803-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801883475
Provider Name
Robert David Crockett
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1100 N College Ave, Fayetteville, AR, 65803-4306
Phone Number
615-355-3451
Fax Number
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
427473004 05 MO
P00269324 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1100 N College Ave
City
Fayetteville
State
Arkansas
Zip
72703-1944
Phone Number
615-355-3451
Fax Number
person
Provider Business Mailing Address Details
Address
1100 N College Ave
City
Fayetteville
State
Arkansas
Zip
72703-1944
Phone Number
615-355-3451
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
2000160927 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2000160927 (Missouri)
Definition
Definition to come...
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