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

Timika Roshaun Crockett, NP

Individual provider Family Nurse Practitioner · NPI 1891232757

Timika Roshaun Crockett, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2016, 10 years ago. Practices with Minor Med Care, LLC, a 81-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Licensed in
MS
In the registry since
2017
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

6501 Dogwood View Pkwy Ste A
Jackson, MS 39213-7857
Phone: (601) 899-3340
Fax: (601) 899-3343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 557 Grants Ferry Rd, Brandon, MS 39047-9023 — (601) 665-4162
  • 2080 S Frontage Rd, Vicksburg, MS 39180-5328 — (615) 581-8403

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 901859 (MS)

Record details

NPI number1891232757
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 30, 2017
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Minor Med Care, Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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