Healthcare Provider Details

I. General information

NPI: 1346941358
Provider Name (Legal Business Name): APRIL E CRUMPLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1638 BATTLEFIELD PKWY
FORT OGLETHORPE GA
30742-4016
US

IV. Provider business mailing address

140 MCVAY DR
COCHRAN GA
31014-6608
US

V. Phone/Fax

Practice location:
  • Phone: 706-841-0500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number197808
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: