Individual
CRYSTAL LYNN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
81 TOWNSHIP ROAD 1373, SOUTH POINT, OH 45680-7395
(304) 972-4145
Mailing address
81 TOWNSHIP ROAD 1373, SOUTH POINT, OH 45680-7395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F09171083
OH
Other
Enumeration date
09/26/2017
Last updated
07/09/2020
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