National Provider Identifier Database

CRYSTAL ALLEN, FNP-BC – NPI #1265291900
Family


Contact Information

CRYSTAL ALLEN, FNP-BC
1510 RENAISSANCE DR NE
CONYERS, GA30012-3895
Phone: 770-483-4480
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for CRYSTAL ALLEN

NPI Number 1265291900
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/15/2024
Last updated 03/15/2024 - About 2 years ago
Sole proprietor1 Yes
Identifiers
  • GA License #: RN296229
Hospital affiliation n/a

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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