Individual
CRYSTAL Y CLARK-CROOKSHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
(888) 736-3229
Mailing address
131 WELLNESS DR, SUMMERSVILLE, WV 26651-5402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
63168
WV
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN63168
WV
Other
Enumeration date
04/18/2012
Last updated
07/17/2024
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