Individual
CRYSTAL MEDLEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
555 KITCHINGS DR, STATESVILLE, NC 28677-3576
(704) 978-1144
(704) 978-1148
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013900
NC
363LF0000X
Family Nurse Practitioner
HOPK-RD2QQ
NC
Other
Enumeration date
03/21/2020
Last updated
09/13/2022
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