Individual
MRS. CRYSTAL FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35294-0113
(205) 934-0264
Mailing address
619 19TH ST S, BIRMINGHAM, AL 35294-0113
(205) 934-0264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-126392
AL
Other
Enumeration date
04/24/2015
Last updated
08/26/2023
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