IndividualActive
Alba Crockett, LPN
NPI 1073620977 · Licensed Practical Nurse · Jackson, TN
Provider details
- NPI number
- 1073620977
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- License
- 23012 (TN)
Specialties & taxonomies
Nursing Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
238 Summar Dr
Jackson, TN 38301-3906
Phone: (731) 935-8200
Fax: (731) 935-8327
Approximate (ZIP-level) locationGet directions
Mailing address
1804 Highway 45 Byp
Jackson, TN 38305-4436
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2008-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.