Individual provider · Type 1 NPI

Penelope Ann Crisp, NP

Nurse Practitioner · Winston Salem, NC

NPI number 1619952058 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-2255 Map

Fax (336) 716-6637

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X000900293 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619952058

Penelope Ann Crisp, NP's National Provider Identifier is 1619952058, issued on Dec 8, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 12, 2010.