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ALBA CROCKETT LPN
NPI 1073620977
Licensed Practical Nurse in Jackson, TN

Active since August 24, 2006
238 SUMMAR DR, JACKSON, TN 38301(731) 935-8200(731) 935-8327 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alba Crockett Lpn NPPES

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

ALBA CROCKETT LPN (NPI 1073620977) is an individual licensed practical nurse in Jackson, Tennessee, licensed in Tennessee (23012) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1073620977
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameALBA CROCKETTCredential: LPN
Location Address238 SUMMAR DRJackson, TN 38301-3906
Mailing Address1804 Highway 45 Byp, Ste 604Jackson, TN 38305-4436 · (731) 660-8755 · Fax (731) 660-8739
Phone(731) 935-8200
Fax(731) 935-8327
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateFebruary 15, 2008
✔ NPI 1073620977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TN · 23012
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
238 SUMMAR DR, Jackson, TN 38301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE DAVIS BURNS CASE MANAGER
Counselor (Mental Health)
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 935-8200
PAULETTE MARSHALL CASE MANAGER
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 935-8200
RICHARD D JONES CASE MANAGER
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 935-8200
CLAYTON A RAMSEY LPC
Counselor (Professional)
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 935-8200
REGINALD G NESBITT CASE MANAGER
Counselor
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 541-8200
JAMES MURPHY CRISIS CLINICIAN
Case Manager/Care Coordinator
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 935-8200
KIMBERLY M BEARE CRISIS CLINICIAN
Counselor
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 935-8200
PHILIP H GRANT
Specialist
238 SUMMAR DR
JACKSON, TN 38301
Madison County (731) 541-8344

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 Alba Crockett's NPI number?

The NPI number for Alba Crockett is 1073620977. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Alba Crockett located?

Alba Crockett practices at 238 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 935-8200.

What is Alba Crockett's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Alba Crockett was last updated on February 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.