Most Relevant Information
Provider Data
| NPI Number: | 1003564725 |
| Provider Name: | CRYSTAL KIRBY PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | APN0000031311 |
Most Important Dates
| Enumeration Date: | 03/11/2022 |
| Last Updated: | 03/11/2022 |
Provider Practice Location
5651 FRIST BLVD STE 717
HERMITAGE
TN
370762061
Practice Location Phone/Fax
| Phone: | 6154578585 |
| Fax: |
Provider Mailing Location
5651 FRIST BLVD STE 717
HERMITAGE
TN
370762061
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |