Individual
KRYSTAL PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1301 DEER PARK AVE, NORTH BABYLON, NY 11703-2728
(631) 358-0848
(631) 669-8532
Mailing address
1301 DEER PARK AVE, NORTH BABYLON, NY 11703-2728
(631) 358-0848
(516) 715-3782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
630216
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402475
NY
Other
Enumeration date
06/06/2012
Last updated
04/06/2022
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