Individual
CRYSTAL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1510 RENAISSANCE DR NE, CONYERS, GA 30012-3895
(770) 483-4480
Mailing address
1510 RENAISSANCE DR NE, CONYERS, GA 30012-3895
(312) 752-8572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN296229
GA
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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