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Charley Crockett

Physician Assistant in Jacksboro, TN · enumerated 2025.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376419960

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Registry record

Entity type Individual (Type 1)
Name Charley Crockett
Sex Female
Practice address 2702 Jacksboro Pike, Jacksboro, TN, 37757
Phone (423) 374-7775
Fax (423) 374-7779
Enumeration date Oct 13, 2025
Last updated in NPPES Jan 14, 2026

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 6819 (TN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Charley Crockett?
The National Provider Identifier (NPI) for Charley Crockett is 1376419960, a Type 1 (individual) record in the CMS NPPES registry.
Where does Charley Crockett practice?
The practice location on file with NPPES is in Jacksboro, TN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-14.