Individual provider · Type 1 NPI

Crystaline Joi Prothro, NP-C

Family Nurse Practitioner · Kennesaw, GA

NPI number 1568060846 Active

Practice location

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472

Mailing address

4010 Bryce Manor Ln
Decatur, GA 30034-6256

Other practice locations

  • 1305 Hembree Rd, Roswell, GA 30076-3810 · (470) 485-6342

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN233492 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1568060846

Crystaline Joi Prothro, NP-C's National Provider Identifier is 1568060846, issued on Oct 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kennesaw, GA. The record was last updated on Feb 28, 2025.