Individual
CRYSTAL MICHELLE HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3 SAINT FRANCIS DR STE 300, GREENVILLE, SC 29601-3972
(864) 233-8063
Mailing address
200 ASHMORE BRIDGE RD, MAULDIN, SC 29662-2837
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25458
SC
363LA2200X
Adult Health Nurse Practitioner
25458
SC
363LG0600X
Gerontology Nurse Practitioner
25458
SC
363LP2300X
Primary Care Nurse Practitioner
25458
SC
Other
Enumeration date
10/02/2021
Last updated
03/10/2026
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