Individual
KRYSTAL L VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(678) 789-5244
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(678) 789-5244
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN255058
GA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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