Individual
KRYSTAL SIMONE RENE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2005 PISGAH CHURCH RD, GREENSBORO, NC 27455-3309
(336) 716-9150
(336) 702-9166
Mailing address
2005 PISGAH CHURCH RD, GREENSBORO, NC 27455-3309
(336) 716-9150
(336) 702-9166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022189
NC
363LF0000X
Family Nurse Practitioner
11039297
FL
363LF0000X
Family Nurse Practitioner
5022189
NC
Other
Enumeration date
05/20/2025
Last updated
03/04/2026
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