Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennie Edward Crudup, LPN

Individual provider Licensed Practical Nurse · NPI 1336261627

Bennie Edward Crudup, LPN is a Licensed Practical Nurse in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

440 Winn Way Rm 2118
Decatur, GA 30030-1715
Phone: (404) 508-7857
Fax: (404) 508-7826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN067878 (GA)

Record details

NPI number1336261627
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESJuly 8, 2007

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