Individual
CRYSTAL BRASSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
Mailing address
2102 WILLOW BEND DR, MERIDIAN, MS 39301-6920
(601) 934-8474
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
904836
MS
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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