Individual
CRYSTAL LYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367
(270) 377-1600
Mailing address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21908
TN
363LF0000X
Family Nurse Practitioner
Primary
3011733
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100510640
—
KY
05
—
Q029643
—
TN
Enumeration date
10/09/2016
Last updated
03/27/2024
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