Individual
MRS. KRYSTAL TRUSSELL WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1600 22ND AVE, MERIDIAN, MS 39301-8936
(601) 483-5322
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
897662
MS
363LF0000X
Family Nurse Practitioner
Primary
906203
MS
Other
Enumeration date
08/21/2023
Last updated
02/26/2025
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