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Jacy Killian Crocker

Female

Medical Specialty

Certified Registered Nurse Anesthetist

Professional ID

NPI: 1528444080
PECOS ID: 1759681976
Enrollment ID: I20151119001853
Credential(MD, DO, DPM):
Medical School:
Medical School Graduation Year: 2015

Hospital Service

Hospital CCN1: 340004
Business Name (LBN)1: High Point Regional Hospital

Medical Practices

Organization Name: Carolina Anesthesiology Pa
Group Practice ID assigned by PECOS: 7214841410
Number of Group Practice member: 39

Location

Address1: 401 Ferndale Blvd
Address2:
City: High Point
State: North Carolina
Zip Code: 27262
Phone Number: (336)882-2567

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):