JACY KILLIAN CROCKER

HIGH POINT, NC
NPI1528444080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  108810)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NC  230341)
Enumeration Date2015-08-07
Last Update Date2025-06-27
Business Address
JACY KILLIAN CROCKER RN
401 FERNDALE BLVD
HIGH POINT, NC 27262-4739
Phone number: 336-882-2567
Mailing Address
JACY KILLIAN CROCKER RN
100 KIMEL FOREST DR
WINSTON SALEM, NC 27103-6074
Phone number: 336-713-0947