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JENNIFER LYNN CROCKFORD FNP
NPI 1023012531
Nurse Practitioner - Family in Norfolk, VA

Active since June 13, 2005
6161 KEMPSVILLE CLRCLE, STE 225, NORFOLK, VA 23502(757) 455-6368(757) 455-6686 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jennifer Lynn Crockford Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LYNN CROCKFORD FNP (NPI 1023012531) is an individual family provider in Norfolk, Virginia, licensed in Virginia (0024 069161) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1023012531
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER LYNN CROCKFORDCredential: FNP
Location Address6161 KEMPSVILLE CLRCLE, STE 225Norfolk, VA 23502
Mailing AddressPo Box 7068Portsmouth, VA 23707-0068 · (757) 686-3542 · Fax (757) 686-0230
Phone(757) 455-6368
Fax(757) 455-6686
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023012531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024 069161
6161 KEMPSVILLE CLRCLE, Norfolk, VA 23502
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Other Identifiers 3

Medicaid77933424VA
Medicare ID-Type Unspecified7793324VA
Medicare UPINS71687PVA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Crockford's NPI number?

The NPI number for Jennifer Crockford is 1023012531. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Jennifer Crockford located?

Jennifer Crockford practices at 6161 Kempsville Clrcle Ste 225, Norfolk, VA 23502. The listed phone number is (757) 455-6368.

What is Jennifer Crockford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jennifer Crockford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.