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

Crystal Renee Stafford, FNP-C

Individual provider Family Nurse Practitioner · NPI 1851816797

Crystal Renee Stafford, FNP-C is a Nurse Practitioner in Wiggins, Mississippi. Qualified in 2017, 9 years ago. Practices with Wiggins Primary Care, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

975 Hall St
Wiggins, MS 39577-2107
Phone: (601) 528-9119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4215 15th St, Gulfport, MS 39501-2523 — (228) 863-5211

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902087 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F06171077 (MS)

Record details

NPI number1851816797
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 12, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Wiggins Primary Care — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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