Lane, Krystal J

Lane, Krystal J is an individual health care provider with primary practice located at 710 Joy Dr , Fort Mill SC 29715-8402. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lane, Krystal J can be contacted via phone (803) 322-6548.

Contact Information

Primary practice address
710 Joy Dr Fort Mill SC 29715-8402
Phone: (803) 322-6548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17563 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-033232 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21101 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21101 South Carolina

Profile Details

NPI number 1437684271
LBN Legal business name Lane, Krystal J
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2017
Last updated Apr 16th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437684271 NPPES
Wisconsin MEDICAID 100386818

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