CRYSTAL L HANCOCK (NPI# 1881019305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881019305 |
| Entity Type | Individual |
| Full Name | CRYSTAL L HANCOCK |
| Credential | NP |
| Practice Address |
12978 North Main Street Trenton GA 30752 |
| Practice Telephone | 7066574183 |
| Practice Fax Number | 7066574270 |
| Mailing Telephone | 7066574183 |
| Mailing Fax Number | 7066574270 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2015-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN213708 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12978 NORTH MAIN STREET |
| City | TRENTON |
| State | GA |
| Zip Code | 30752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| 1912376492 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 112 Crimson Drive, Trenton, GA 30752 | 2015-09-15 |
| Find all providers in zip 30752 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982249223 | Brook Michelle Ferry | Nurse Practitioner | 5 Appleton Dr, Trenton, NJ 08610-2501 | 2019-11-11 |
| 1356808760 | Vanessa Marie Ratcliff | Nurse Practitioner | 925 Delhi Dr, Trenton, OH 45067-9348 | 2019-02-22 |
| 1184190696 | Mary Alicia-dana Kirk | Nurse Practitioner | 2445 Riverside Dr Apt 301, Trenton, MI 48183-2761 | 2018-10-23 |
| 1043704216 | Elizabeth Ann Davis | Nurse Practitioner | 5400 Fort St Ste 130, Trenton, MI 48183-4627 | 2018-06-20 |
| 1952825150 | Rondella Thompson | Nurse Practitioner | 40 Fuld St Ste 201, Trenton, NJ 08638-5247 | 2017-07-29 |
| 1356898480 | Kenneth Smith | Nurse Practitioner | 6480 Se 55th St, Trenton, FL 32693-3019 | 2016-09-07 |
| 1326406372 | Wanda Graupman | Nurse Practitioner | 2017 S College St, Trenton, TN 38382-3934 | 2016-02-05 |
| 1467829515 | Kelly Pulley | Nurse Practitioner | 2017 South College St, Trenton, TN 38382 | 2015-08-25 |
| 1962800060 | Laura Jansen | Nurse Practitioner | 409 E Broadway, Trenton, IL 62293 | 2014-12-05 |
| 1053739193 | Lisa Schweich | Nurse Practitioner | 1250 Manufacturer's Row, Trenton, TN 38382 | 2014-04-05 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.