Active NPI
Jane Anne Crockett, RN
- College Health Registered Nurse
- Jacksonville, FL
National Provider Identifier
1366333767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- College Health Registered Nurse
- License
- RN9500724
- Practice address
- 1 Unf Dr BLDG 39a
Jacksonville, FL 32224-2645 - Phone
- (904) 620-2900
- NPI assigned
- Jul 14, 2025
- Last updated
- Jul 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | RN9500724 | FL | Primary |
Addresses
Primary practice location
1 Unf Dr BLDG 39a
Jacksonville, FL 32224-2645
Mailing address
28856 Grandview MNR
Yulee, FL 32097-7374
Phone (814) 232-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9500724 | FL | MD | College Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Florida Student Medical Service | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Student Health Clinic/Center
- Jacksonville, FL
- NPI 1730418641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1366333767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28856 GRANDVIEW MNR",
"city": "YULEE",
"state": "FL",
"postal_code": "320977374",
"telephone_number": "814-232-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNF DR BLDG 39A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242645",
"telephone_number": "904-620-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKETT",
"first_name": "JANE",
"middle_name": "ANNE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-14",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "FL",
"license": "RN9500724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.