Crystal L Pemberton, FNP-C
Nurse Practitioner, Family in Wall, New Jersey
1811795073- Practice location
- 1924 Rte 35, Ste 5, Wall, NJ 07719-3530
- Phone
- 732-974-8404
- Fax
- —
- Last updated
- July 22, 2026
Crystal Lynn Pemberton is a Nurse Practitioner, Family based in Wall, NJ. Crystal Lynn Pemberton practices in Wall, NJ and has the professional credentials of FNP-C. The NPI Number for Crystal Lynn Pemberton is 1811795073 and holds a License No. 26NJ15288400 (NJ). The current practice location address for Crystal Lynn Pemberton is 1924 Rte 35, Ste 5, Wall, NJ 07719-3530 and can be reached out via phone at 732-974-8404.
Provider Profile Details
- NPI Number
- 1811795073
- Provider Name
- Crystal Lynn Pemberton
- Credential
- FNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1924 Rte 35, Ste 5, Wall, NJ 07719-3530
- Phone Number
- 732-974-8404
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Other Names
- Mrs. Crystal Lynn Pemberton, FNP-C (Professional Name)
- Provider Enumeration Date
- March 4, 2025
- Last Update Date
- July 22, 2026
- Certification Date
- July 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1924 Rte 35
Ste 5
Wall, NJ 07719-3530 - City
- Wall
- State
- New Jersey
- Zip
- 07719-3530
- Phone Number
- 732-974-8404
Provider Business Mailing Address Details
- Address
- 331 Newman Springs RD
Bldg 2, Ste 220
Red Bank, NJ 07701-5688 - City
- Red Bank
- State
- NJ
- Zip
- 07701-5688
License Information
- License Number
- 26NJ15288400
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Crystal L Pemberton, FNP-C?
The NPI number of Crystal L Pemberton, FNP-C is 1811795073. It was assigned on March 4, 2025 and is currently active in the NPPES registry.
What is the specialty of Crystal L Pemberton, FNP-C?
Crystal L Pemberton, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15288400.
Where does Crystal L Pemberton, FNP-C practice?
The practice location is 1924 Rte 35, Ste 5, Wall, NJ 07719-3530. The office can be reached at 732-974-8404 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811795073 directly on the NPPES registry website.