Individual
CRYSTAL D. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-9006
(478) 953-1800
(478) 953-1931
Mailing address
PO BOX 8818, WARNER ROBINS, GA 31095-8818
(478) 953-1800
(478) 953-1931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN199360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN199360
NURSE PRACTITIONER LICENSE NUMBER
GA
Enumeration date
07/05/2016
Last updated
07/05/2016
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