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Contact Information

TANISHA CROCKETT, FNP-BC
29787 JOHN J WILLIAMS HWY UNIT 8
MILLSBORO, DE19966-4097
 Phone: 800-818-8680
 Fax: 866-229-0237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TANISHA CROCKETT · (Female)

NPI # 1093342420
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/25/2020
Last updated 11/20/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • DE License # LG-0001373
Hospital affiliation(s)
  • BAYHEALTH - MILFORD MEMORIAL HOSPITAL - (Acute Care)
    21 WEST CLARKE AVENUE
    MILFORD, DE 19963
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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