Kimberley Anne Crawford, PHD, MPH, RN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Clarkston, GA
NPI 1013792852 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1013792852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN139443 (GA)
- Practice address
- 3700 Market St Ste E-1
Clarkston, GA 30021-2653 - Phone
- (678) 898-5731
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN139443 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkston Community Health Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN139443 | GA | Yes |
Addresses
Primary practice location
3700 Market St Ste E-1
Clarkston, GA 30021-2653
Mailing address
130 4TH Ave SE
Atlanta, GA 30317-2724
Phone (404) 371-9407
Other providers in Clarkston, GA
- Clarkston Community Health Center, Inc.
- Clarkston Family Medicine
- Clarkston Primary & Urgent Care, LLC
- Marqueta A Coffer
- Corinthianhomwcareservices
- Casey C Cudmore
- Emily Howell Curia
- Samina A. Damani
- Ailaf Tesfaye Darfoor
- Suleman Daya
All providers in Clarkston, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.