KRYSTAL LANE

FORT MILL, SC
NPI1437684271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  21101)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WI  17563)
390200000X Student in an Organized Health Care Education/Training Program
363L00000X Nurse Practitioner
(Licence: SC  21101)
Enumeration Date2017-05-01
Last Update Date2025-11-21
Business Address
KRYSTAL LANE FNP-BC
710 JOY DR
FORT MILL, SC 29715-8402
Phone number: 803-322-6548
Mailing Address
KRYSTAL LANE FNP-BC
710 JOY DR
FORT MILL, SC 29715-8402
Phone number: 803-322-6548