person
Crystal Dawn Lane, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Ozark, Missouri
NPI 1811633845

Crystal Dawn Lane is a Psychiatric/Mental Health Nurse Practitioner based in Nixa, MO and is specialized in Psychiatric/Mental Health. Crystal Dawn Lane practices in Ozark, MO and has the professional credentials of PMHNP-BC. The NPI Number for Crystal Dawn Lane is 1811633845 and holds a License No. 11029121 (Missouri).

The current practice location address for Crystal Dawn Lane is 5548 N Farmer Branch Rd, Ozark, MO and can be reached out via phone at 417-322-6622 and via fax at 417-350-1935.

Location: 5548 N Farmer Branch Rd, Ozark, MO, 65714-7031
person
Provider Profile Details
NPI Number
1811633845
Provider Name
Crystal Dawn Lane
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5548 N Farmer Branch Rd, Ozark, MO, 65714-7031
Phone Number
417-322-6622
Fax Number
417-350-1935
Provider Enumeration Date
05/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
284170758 05 AR
420109430 05 MO
institution
Provider Business Practice Location Address Details
Address
5548 N Farmer Branch Rd
City
State
Zip
65721-5315
Phone Number
417-322-6622
Fax Number
417-350-1935
person
Provider Business Mailing Address Details
Address
5548 N Farmer Branch Rd
City
State
Zip
65721-5315
Phone Number
417-322-6622
Fax Number
417-350-1935
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11029121 (Florida)
Definition
Definition to come...
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