Individual
CRYSTAL COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
450 ERIE AVE, CONNERSVILLE, IN 47331-3176
(765) 827-7890
Mailing address
450 ERIE AVE, CONNERSVILLE, IN 47331-3176
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014894B
IN
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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