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

Crystal Latasha Greene

Individual provider Nurse's Aide · NPI 1417610387

Crystal Latasha Greene is a Nurse's Aide in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

5030 W Mountain St Apt 18
Stone Mountain, GA 30083-2845
Phone: (678) 334-4914
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence CN0014183784 (GA)

Record details

NPI number1417610387
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2021
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021

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