Individual
KRYSTAL MONTGOMERY PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
201 TOWNCENTER BLVD, TUSCALOOSA, AL 35406-1824
(205) 650-0576
Mailing address
201 TOWNCENTER BLVD, TUSCALOOSA, AL 35406-1824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-136381
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-136381
AL
Other
Enumeration date
03/13/2020
Last updated
10/07/2021
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