Individual
KRYSTAL GAIL DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 716-0051
Mailing address
1001 MILL CREEK CT, CONYERS, GA 30012-6515
(470) 998-5060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP304643
GA
363LF0000X
Family Nurse Practitioner
RN304643
GA
Other
Enumeration date
08/18/2025
Last updated
03/10/2026
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