# CRYSTAL PETERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114759081
- **Gender:** F
- **Credential:** APRN - FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | RN306903 | GA | — |
| 363L00000X | Nurse Practitioner | 2025019608 | MO | — |
| 363L00000X | Nurse Practitioner | 53-84539 | KS | Yes |
| 363LF0000X | Family Nurse Practitioner | RN306903 | GA | — |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 09/09/2025