Individual
KRYSTAL AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 E PRIMROSE ST STE 170, SPRINGFIELD, MO 65807-5192
(417) 269-9812
(417) 269-9853
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016029749
MO
Other
Enumeration date
08/17/2016
Last updated
12/17/2024
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