Individual
CRYSTAL N MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
208 N 1ST ST, BOONEVILLE, MS 38829-2718
(662) 728-3313
(662) 728-5623
Mailing address
PO BOX 92, ASHLAND, MS 38603-0092
(662) 224-8951
(662) 224-6801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902392
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902392
STATE LICENSCE
MS
Enumeration date
10/19/2017
Last updated
10/19/2017
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