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

Crystal Winkles Buckner

Individual provider Pediatric Nurse Practitioner · NPI 1902600166

Crystal Winkles Buckner is a Pediatric Nurse Practitioner in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

3745 Cherokee St NW Ste 401
Kennesaw, GA 30144-6787
Phone: (770) 429-1005
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 202529450 (GA)

Record details

NPI number1902600166
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 4, 2025
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address642 Rosalia St Se, Atlanta, GA 30312-3447

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