Mrs. Tanya Ezell Crockett is a Lexington, Kentucky based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Mrs. Tanya Ezell Crockett is 3007181 for Pediatrics in Kentucky. Her current practice location is 496 Southland Dr, Lexington. Patients can reach her at 859-288-2425 or can fax her at 859-721-3918. Mrs. Tanya Ezell Crockett is APRN, CPNP-PC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1740564954. Mrs. Tanya Ezell Crockett specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mrs. Tanya Ezell Crockett speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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:
1740564954
NPI Enumeration Date:
06 Oct, 2011
NPI Last Update On:
22 May, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Tanya Ezell Crockett are as mentioned below.
License Number
Specialization
State
Status
3007181
Pediatrics
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Tanya Ezell Crockett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100197040
Medicaid
Kentucky
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.