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

Jody Puckett Crisp, MSN-FNP

Individual provider Nurse Practitioner · NPI 1275183147

Jody Puckett Crisp, MSN-FNP is a Nurse Practitioner in Flat Rock, North Carolina. Qualified in 2019, 7 years ago. Practices with Outer Banks Professional Services, LLC, a 162-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

571 S Allen Rd
Flat Rock, NC 28731-9447
Phone: (828) 692-6178
Fax: (828) 692-2365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5012460 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5012460 (NC)

Record details

NPI number1275183147
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN-FNP
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESAugust 17, 2022
Certification dateAugust 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Outer Banks Professional Services, Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flat Rock