Provider Demographics
NPI:1801619234
Name:EPPERSON, CRYSTAL E (CARE NAVIGATOR)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:E
Last Name:EPPERSON
Suffix:
Gender:F
Credentials:CARE NAVIGATOR
Other - Prefix:MISS
Other - First Name:CRYSTAL
Other - Middle Name:E
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CARE NAVIGATOR
Mailing Address - Street 1:1453 WATERTON DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3021 GATEWAY DR STE 295
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-2639
Practice Address - Country:US
Practice Address - Phone:866-271-3589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-04
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator