Individual
MRS. CRYSTAL JANETTE GRIFFIN GALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 864-7887
Mailing address
3023 S FORT AVE, SPRINGFIELD, MO 65807-5196
(417) 324-7299
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025016297
MO
Other
Enumeration date
05/23/2025
Last updated
07/31/2025
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