KRYSTAL ANN WALL FNP-C NPI 1861308686

NPI Information

  • NPI: 1861308686
  • Provider Name: KRYSTAL ANN WALL, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 393 N BELAIR RD
    EVANS, GA
    ZIP 30809
  • Phone: (706) 868-0104

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NPI Details

Krystal Ann Wall, FNP-C is a family nurse practitioner in Evans, GA. Krystal Ann Wall, FNP-C NPI is 1861308686. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

393 N BELAIR RD
EVANS, GA
ZIP 30809-096
Phone: (706) 868-0104

The enumeration date for this NPI number is 8/21/2026 and was last updated on 8/21/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN-NP302564GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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