Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jennifer Nicole Crockett, NP

Individual provider Acute Care Nurse Practitioner · NPI 1649075441

Mrs. Jennifer Nicole Crockett, NP is a Nurse Practitioner in Midlothian, Virginia. Qualified in 2023, 3 years ago. Practices with Integrative Regional Medical Center, PC, a 9-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

14300 Justice Rd
Midlothian, VA 23113-6840
Phone: (804) 665-0864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024192617 (VA)

Record details

NPI number1649075441
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integrative Regional Medical Center, Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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