MR. JOVAN ANTWUANE CROCKER CRNP
NPI 1871188441
Nurse Practitioner - Primary Care in Baltimore, MD

Q: What is Jovan Crocker's NPI number?

The NPI number for Jovan Crocker is 1871188441. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Q: What is Jovan Crocker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jovan Crocker was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 05, 2021

3623 WABASH AVE, BALTIMORE, MD 21215(410) 262-1063 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jovan Antwuane Crocker Crnp NPPES

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

MR. JOVAN ANTWUANE CROCKER CRNP (NPI 1871188441) is an individual primary care provider in Baltimore, Maryland, licensed in Maryland (R187195) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1871188441

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameMR. JOVAN ANTWUANE CROCKERCredential: CRNP

Location Address3623 WABASH AVEBaltimore, MD 21215-7435

Mailing Address3623 Wabash AveBaltimore, MD 21215-7435 · (410) 262-1063

Phone(410) 262-1063

Sole ProprietorYes

Enumeration DateMarch 5, 2021

NPPES CertifiedMarch 5, 2021

✔ NPI 1871188441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MD · R187195

3623 WABASH AVE, Baltimore, MD 21215

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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 Jovan Crocker's NPI number?

The NPI number for Jovan Crocker is 1871188441. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Jovan Crocker located?

Jovan Crocker practices at 3623 Wabash Ave, Baltimore, MD 21215. The listed phone number is (410) 262-1063.

What is Jovan Crocker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Jovan Crocker was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.