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Contact Information

CRYSTAL D LAKE AKINNUOYE, FNP-C
582 E HARDING WAY
STOCKTON, CA95204-6110
 Phone: 888-530-4415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CRYSTAL D LAKE AKINNUOYE · (Female)

NPI # 1053871293
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 03/22/2019
Last updated 09/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95013402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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