# CRYSTAL L BRANHAM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417224239
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 3007228 | KY | — |
| 363LF0000X | Family Nurse Practitioner | LG-0011841 | DE | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 086065-23 | NH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26336 | TN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3007228 | KY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 350979 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 406281 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 53-82469-061 | KS | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95026946 | CA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | C-APN.0102125-C-NP | CO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | CP003104 | SD | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | RN2368322 | MA | Yes |

## Other

- **Enumeration date:** 11/22/2011
- **Last updated:** 10/09/2026
