Individual
KRYSTAL S. OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12385 SORRENTO RD STE B3, PENSACOLA, FL 32507-8656
(850) 602-0828
(850) 497-6871
Mailing address
38 S BLUE ANGEL PKWY, # 104, PENSACOLA, FL 32506-6045
(850) 529-7932
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP3248772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307094800
—
FL
01
—
P00233924
RR MEDICARE
—
Enumeration date
07/12/2006
Last updated
04/14/2025
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