Clay Justin Crockett
PMHNP-BC | Nurse Practitioner
1525 S Higley Rd Ste 104, Gilbert
Arizona, 85296-5045
480-401-2110
Clay Justin Crockett is a Gilbert, Arizona based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Clay Justin Crockett is 294847 for Psych/Mental Health in Arizona. His current practice location is 1525 S Higley Rd Ste 104, Gilbert. Patients can reach him at 480-401-2110 or can fax him at 507-519-5792. Clay Justin Crockett is PMHNP-BC with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1164120150.
Clay Justin Crockett has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Clay Justin Crockett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Clay Justin Crockett |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | PMHNP-BC |
| Practice Address: | 1525 S Higley Rd Ste 104, Gilbert,
Arizona, 85296-5045 |
| Phone: | 480-401-2110 |
| Fax: | 507-519-5792 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1164120150 |
| NPI Enumeration Date: | 20 Feb, 2023 |
| NPI Last Update On: | 25 Jun, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clay Justin Crockett are as mentioned below.
| License Number | Specialization | State | Status | |
| 294847 | Psych/Mental Health | Arizona | Primary | |
| RN197246 | Registered Nurse | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Clay Justin Crockett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 138626 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Clay Justin Crockett
1525 S Higley Rd Ste 104,
Gilbert, Arizona |
| Zip: | 85296-5045 |
| Phone Number: | 480-401-2110 |
| Fax Number: | 507-519-5792 |
Patients can reach Clay Justin Crockett at
1525 S Higley Rd Ste 104, Gilbert, Arizona or can
call to book an appointment on 480-401-2110.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.