Search › Mississippi › 363LF0000X
Timika Crockett, NP
NPI 1891232757 · on the registry since 2017
Practice
- Address
- 6501 Dogwood View Pkwy Ste A
Jackson, MS 39213 - Phone
- (601) 899-3340
- Fax
- (601) 899-3343
- Organisation at this address
- Restoration Rehab Inc
Optimum Health InstituteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 2080 S Frontage Rd, Vicksburg, MS
- 557 Grants Ferry Rd, Brandon, MS
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi