Individual
MRS. CRYSTAL GAIL MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
250 BOSWELL STREET, LEXINGTON, TN 38351-1566
(731) 968-2006
Mailing address
250 BOSWELL STREET, LEXINGTON, TN 38351-1566
(731) 968-2006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16458
TN
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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