Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Crumbliss, MSN, CPNP-PC

Individual provider Nurse Practitioner · NPI 1144825415

Mary Crumbliss, MSN, CPNP-PC is a Nurse Practitioner in Johns Creek, Georgia. Works from 2 locations. Licensed in Georgia and Tennessee.

Licensed in
GA, TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

10710 Medlock Bridge Rd Ste 250
Johns Creek, GA 30097-1999
Phone: (770) 870-1085
Fax: (770) 870-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 388 Fox Trot Trl, Ringgold, GA 30736-7367 — (423) 838-3300

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN298923 (GA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence APN0000028490 (TN)

Record details

NPI number1144825415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , CPNP-PC
Sole proprietorNo
NPI enumeratedDecember 3, 2020
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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