Carla Jeanne Crockford, ARNP/PMHNP - Nurse Practitioner in Vancouver, WA

Carla Jeanne Crockford, ARNP/PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Vancouver, Washington. Carla Jeanne Crockford is licensed to practice in Washington (license number AP30006594) and her current practice location is 7600 Ne 41st St Ste 203, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at (360) 253-6425.

NPI number for Carla Jeanne Crockford is 1467478867 and her current mailing address is 7600 Ne 41st St Ste 203, Vancouver, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467478867.

Contact Information

Carla Jeanne Crockford, ARNP/PMHNP
7600 Ne 41st St Ste 203,
Vancouver, WA 98662-6772
(360) 253-6425
(360) 253-3196

Map and Direction




Provider's Profile

Full NameCarla Jeanne Crockford
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location7600 Ne 41st St Ste 203, Vancouver, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467478867
  • Provider Enumeration Date: 07/15/2006
  • Last Update Date: 10/16/2024

Medical Identifiers

Medical identifiers for Carla Jeanne Crockford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467478867NPI-NPPES
831447012OtherORBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 200450092NP PMHNP-PP (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP30006594 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carla Jeanne Crockford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carla Jeanne Crockford, ARNP/PMHNP
7600 Ne 41st St Ste 203,
Vancouver, WA 98662-6772

Ph: (360) 253-6425
Carla Jeanne Crockford, ARNP/PMHNP
7600 Ne 41st St Ste 203,
Vancouver, WA 98662-6772

Ph: (360) 253-6425

Reviews and Comments


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