Individual
KRYSTLE HORNE DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGPCNP-BC
Contact information
Practice address
1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7146
(336) 564-4866
(336) 277-4278
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4866
(336) 277-4278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236969
NC
363L00000X
Nurse Practitioner
Primary
5012307
NC
363LA2200X
Adult Health Nurse Practitioner
236969
NC
Other
Enumeration date
02/02/2016
Last updated
06/28/2023
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