Individual provider · Type 1 NPI

Crystal Dawn Lane, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Fort Myers, FL

NPI number 1811633845 Active

Practice location

12811 Kenwood Ln Ste 202
Fort Myers, FL 33907-5646

Fax (239) 236-0866

Mailing address

6252 S Philmar Dr
Springfield, MO 65804-7904

Other practice locations

  • 2345 Stanford Ct Ste 602, Naples, FL 34112-4841 · (239) 537-9646

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11029121 (FL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X220223 (AR)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2022017504 (MO)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1811633845

Crystal Dawn Lane, PMHNP-BC's National Provider Identifier is 1811633845, issued on May 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 26, 2025.