CRYSTELLE LEEELLEN CARMACK

BIRMINGHAM, AL
NPI1295031169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-109160)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: AR  231008)
363LF0000X Nurse Practitioner, Family
(Licence: MO  2024046764)
363LF0000X Nurse Practitioner, Family
(Licence: MS  907103)
363LF0000X Nurse Practitioner, Family
(Licence: NC  5021315)
363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11022060)
363LF0000X Nurse Practitioner, Family
(Licence: OH  APRN.CNP.0034762)
363LF0000X Nurse Practitioner, Family
(Licence: TX  1104925)
363LF0000X Nurse Practitioner, Family
(Licence: SC  27084)
363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP4444)
363LF0000X Nurse Practitioner, Family
(Licence: TN  31680)
363LF0000X Nurse Practitioner, Family
(Licence: IL  209027339)
Enumeration Date2011-02-09
Last Update Date2024-12-10
Business Address
CRYSTELLE LEEELLEN CARMACK CRNP
1 PERIMETER PARK S STE 100N
BIRMINGHAM, AL 35243-3248
Phone number: 866-849-0692
Mailing Address
CRYSTELLE LEEELLEN CARMACK CRNP
PO BOX 211699
EAGAN, MN 55121-3699
Phone number: 866-849-0692