| Kristen Michele Crocker, | |
|
9576 S Us Highway 1, Port St Lucie, FL 34952-4217 | |
| (772) 337-4000 | |
| Not Available |
| Full Name | Kristen Michele Crocker |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 9576 S Us Highway 1, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477290526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN11019200 (Florida) | Primary |
| 176B00000X | Midwife | RN9385303 (North Carolina) | Secondary |
| Entity Name | Florida Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851518211 PECOS PAC ID: 9931017126 Enrollment ID: O20040515000037 |
| Entity Name | Ob Hospitalist Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Michele Crocker, 1746 Highland Dr Sw, Vero Beach, FL 32962-6948 Ph: (210) 326-3119 | Kristen Michele Crocker, 9576 S Us Highway 1, Port St Lucie, FL 34952-4217 Ph: (772) 337-4000 |
Shyanne Marie Dunkley, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 10000 Sw Innovation Way, Port St Lucie, FL 34987 Phone: 561-945-4756 | |
Jane N. Lennon, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952 Phone: 772-337-4000 Fax: 772-335-4054 | |
Charlyn A. Coleman, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952 Phone: 772-337-4000 Fax: 772-335-4054 | |
Stephanie W Brooker, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 10771 Sw Trade St, Port St Lucie, FL 34987 Phone: 772-219-1080 Fax: 772-219-1083 | |
Sarah Clay, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952 Phone: 772-337-4000 Fax: 772-335-4054 | |
Jennifer Mann Pruitt, ARNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1871 Se Tiffany Ave, Suite 200, Port St Lucie, FL 34952 Phone: 772-337-4000 Fax: 844-543-0396 |