KRISSY R CUSTIS

BIRMINGHAM, AL
NPI1912339615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AL  1-102363)
Enumeration Date2013-08-05
Last Update Date2025-10-20
Business Address
Mrs. KRISSY R CUSTIS CRNP
48 MEDICAL PARK DR E STE 150
BIRMINGHAM, AL 35235-3456
Phone number: 205-396-2225
Mailing Address
Mrs. KRISSY R CUSTIS CRNP
7051 LAKE RUN DRIVE
BIRMINGHAM, AL 35242
Phone number: 205-838-3245