Individual
CHRYSTAL SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
215 N 3RD ST, LEESBURG, FL 34748-5105
(352) 315-7900
Mailing address
1169 BALTIC LN, WINTER SPRINGS, FL 32708-5161
(917) 698-9121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11012141
FL
Other
Enumeration date
04/13/2021
Last updated
10/30/2024
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