JOVAN ANTWUANE CROCKER (NPI# 1871188441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871188441 |
| Entity Type | Individual |
| Full Name | MR. JOVAN ANTWUANE CROCKER |
| Gender | Male |
| Credential | CRNP |
| Practice Address | 3623 Wabash Ave Baltimore MD 21215-7435 |
| Practice Telephone | 4102621063 |
| Mailing Address | 3623 Wabash Ave Baltimore MD 21215-7435 |
| Mailing Telephone | 4102621063 |
| Certification Date | 2021-03-05 |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner Specialization: Primary Care | R187195 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address | 3623 WABASH AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-7435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780275958 | Nuwave Health Services | Substance Abuse Rehabilitation Facility | 3530 Manchester Avenue, Baltimore, MD 21215 | 2021-02-01 |
| 1942819065 | Paul Stendahl Gosayco Dy | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2020-07-24 |
| 1154946432 | Kara Ashby | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2020-06-11 |
| 1871117895 | Kalsoom Akhlaq | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2020-06-05 |
| 1598388399 | Vishruth Reddy Vyata | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Balitmore, MD 21215 | 2020-05-27 |
| 1821611617 | Faisal Ibrahim-Adam | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2020-05-27 |
| 1700409984 | Rao Hamza Taheem Hashim | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2020-05-22 |
| 1962025387 | Kinza Bazigh | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2020-05-20 |
| 1235751207 | Chirayu Mohindroo | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Avenue, Baltimore, MD 21215 | 2020-05-13 |
| 1902428907 | Shreyas Ashok Kalantri | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Avenue, Baltimore, MD 21215 | 2020-05-12 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780277764 | Abundant Life Medical Services LLC | 300 E Lombard St Ste 840, Baltimore, MD 21202-3231 | 2021-02-19 | |
| 1609468933 | G & E Behavioral Health Services, LLC | 224 N Gay St Ste 2, Baltimore, MD 21202-5886 | 2021-02-08 | |
| 1154918738 | Rachael Mcgee | 301 Saint Paul St, Baltimore, MD 21202-2102 | 2020-12-29 | |
| 1093310450 | Weekend Whitecoat Concierge LLC | 1034 Mcdonogh St, Baltimore, MD 21205-1110 | 2020-12-03 | |
| 1619578168 | Edgewellness LLC &nursing Services | 7416 Harford Rd, Baltimore, MD 21234-7152 | 2020-11-02 | |
| 1598364192 | Folasade O Onasanya | 3312 Croydon Rd, Baltimore, MD 21207-4543 | 2020-10-23 | |
| 1831703677 | Hands of Health Primary Care | 4101 Glenhunt Rd, Baltimore, MD 21229-1705 | 2020-08-31 | |
| 1437785706 | Hajia M Nagaiya | 3525 Courtleigh Dr, Baltimore, MD 21244-2205 | 2020-03-19 | |
| 1841844222 | Amaris Patrice Murray | 2300 Garrison Blvd Ste 200, Baltimore, MD 21216-2309 | 2019-07-24 | |
| 1033761796 | Michael Louis Mincin | 22 S Greene St, Baltimore, MD 21201-1544 | 2019-07-12 | |
| Find all providers in BALTIMORE | ||||
| City | BALTIMORE |
| Zip Code | 21215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282160 | Jovan Hughes · Jovan Francois | Case Manager/Care Coordinator | 3028 Gentilly Blvd, New Orleans, LA 70122-3808 | 2020-10-16 |
| 1841252517 | Jovan M Gvozden · Jovan M Gvozden | Dentist · General Practice | 10535 Ne Glisan St, Portland, OR 97220-4077 | 2006-04-06 |
| 1245653153 | Jovan N Gilliland · Jovan N Cullins | Nurse Practitioner · Family | 1 Tampa General Cir, Tampa, FL 33606-3571 | 2014-01-28 |
| 1063526937 | Olivera Jovan Bogunovic-Sotelo · Olivera Jovan Bogunovic | Psychiatry & Neurology · Addiction Psychiatry | 115 Mill St, Belmont, MA 02478-1041 | 2006-08-18 |
| 1770673097 | Salena Bell Crocker · Sally B Crocker | Social Worker · Clinical | 1310 S 1st St, Suite 200, Austin, TX 78704-3056 | 2006-10-15 |
| 1134555303 | Angela Marie Lilley | Speech-Language Pathologist | 815 Crocker Rd Ste 3, Crocker Business Park, Westlake, OH 44145-1072 | 2013-09-19 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc · Crocker Family Dental | Clinic/Center · Dental | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1689845943 | Lori Crocker · Laura Crocker | Registered Nurse | 1225 M St, Jail Medical Services, 2nd Floor, Fresno, CA 93721-1805 | 2008-03-14 |
| 1770138497 | Crocker School District | Local Education Agency (LEA) | 601 N Commercial St, Crocker, MO 65452-2200 | 2019-08-08 |
| 1720117526 | Archie Crocker | Assisted Living Facility | 429 Crocker Rd, Kings Mountain, NC 28086-4004 | 2007-03-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.