Mrs. Lady Crockett, MSN, APRN-CNP, PMHNP
Mrs. Lady Crockett, MSN, APRN-CNP, PMHNP is a Nurse Practitioner in Springdale, Ohio. Qualified in 2021, 5 years ago. Licensed in New York and Ohio.
- Years since qualifying
- 5
- Licensed in
- NY, OH
- In the registry since
- 2012
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
1329 E Kemper Rd Ste 4220BSpringdale, OH 45246-5100
Phone: (513) 790-4367
Fax: (513) 572-7142
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 0029189 (OH) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 979974 (NY) |
| Registered Nurse | Taxonomy 163W00000X · Licence 384621 (OH) |
Record details
| NPI number | 1548522436 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSN , APRN-CNP , PMHNP |
| Sole proprietor | No |
| NPI enumerated | June 15, 2012 |
| Last updated in NPPES | October 12, 2025 |
| Certification date | October 12, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Springdale
-
Massive Mental Health Services
1329 E Kemper Rd Ste 4420B, Springdale, OH 45246-5101 · (513) 790-4367