MARY CRUMBLISS MSN, CPNP-PC
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1144825415- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSN, CPNP-PC
- Status
- Active
Contact & Location
- Address
- 10710 MEDLOCK BRIDGE RD STE 250, JOHNS CREEK, GA, 300971999
- Phone
- (770) 870-1085
- Fax
- (770) 870-1086
Specialties & Taxonomies
Nurse Practitioner
Primary License: GA #RN298923
Nurse Practitioner, Pediatrics
License: TN #APN0000028490