Individual
MRS. KRISSY R CUSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
48 MEDICAL PARK DR E STE 150, BIRMINGHAM, AL 35235-3456
(205) 396-2225
(844) 689-0677
Mailing address
7051 LAKE RUN DRIVE, BIRMINGHAM, AL 35242
(205) 838-3245
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-102363
AL
Other
Enumeration date
08/05/2013
Last updated
10/20/2025
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