Individual
MS. CRYSTAL NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7900 W JEFFERSON BLVD STE 201, FORT WAYNE, IN 46804-4128
(260) 969-7191
(260) 969-7253
Mailing address
6920 POINTE INVERNESS WAY, FORT WAYNE, IN 46804-7938
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28222257A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011624A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055448
—
IN
Enumeration date
10/14/2020
Last updated
01/29/2026
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