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

MS. Dorothy Delisfort-Crisostomo, FNP-C

Individual provider Family Nurse Practitioner · NPI 1013450816

MS. Dorothy Delisfort-Crisostomo, FNP-C is a Nurse Practitioner in Tucker, Georgia. Qualified in 2016, 10 years ago. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
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

4228 1st Ave Ste 1
Tucker, GA 30084-4426
Phone: (833) 583-4778
Fax: (833) 583-4779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN141244 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN141244 (GA)

Record details

NPI number1013450816
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 28, 2016
Last updated in NPPESApril 15, 2024
Certification dateNovember 5, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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