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Active NPI 1225629264 Individual Practitioner Female Practitioner

Crystal Deer-Walker , LPN

Licensed Practical Nurse • Mccomb, MS

Professional Overview & Biography Verified Profile Summary

Crystal Deer-Walker, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Mccomb, MS. Practice services are available at 114 S 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

114 S 4th St

Mccomb, MS 396484005

Telephone 7692043488
Associated Practice Facility / Clinic
🏢 Divine Walk In Home Care Facility NPI 1093306912

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Mccomb, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Mccomb, MS (263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-14
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MS 336930

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 14, 2022

Registered at 114 S 4TH ST, MCCOMB, MS 396484005 (Tel: 7692043488)

📍
Updated Business Mailing Address December 14, 2022

Registered at 114 S 4TH ST, MCCOMB, MS 396484005 (Tel: 6019960455)

NPI Profile Active February 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2021

Registered at 124 N BROADWAY ST, MCCOMB, MS 396483914 (Tel: 7692043488)

📍
Updated Business Mailing Address February 02, 2021

Registered at PO BOX 1033, MCCOMB, MS 396491033 (Tel: 6019960455)

👤
Provider Name / Credentials Updated February 02, 2021

Recorded as CRYSTAL DEER-WALKER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2021

Licensed Practical Nurse (License #336930 in MS)

🟢
Initial NPI Registration & Enumeration February 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225629264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2021
Last Update: December 14, 2022
Sole Proprietor: Yes

Mailing Address

114 S 4th St

Mccomb, MS 396484005

Phone: 6019960455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.