Individual
CRYSTAL DAWN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12811 KENWOOD LN STE 202, FORT MYERS, FL 33907-5646
(239) 537-9646
(239) 236-0866
Mailing address
6252 S PHILMAR DR, SPRINGFIELD, MO 65804-7904
(417) 350-8236
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029121
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2022017504
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
220223
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120758800
—
FL
05
—
284170758
—
AR
05
—
420109430
—
MO
Enumeration date
05/11/2022
Last updated
09/26/2025
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