Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Lynne Crockford, PA-C

Individual provider Physician Assistant · NPI 1265480065

Mrs. Nicole Lynne Crockford, PA-C is a Physician Assistant in Spartanburg, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2030 N Church Pl
Spartanburg, SC 29303
Phone: (864) 582-6858
Fax: (864) 583-9360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence A945 (SC)

Record details

NPI number1265480065
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJuly 13, 2026

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