Individual
DESTINY CROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
Mailing address
5580 WENDY LN, BASCOM, FL 32423-9129
(850) 557-2119
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11031886
FL
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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