Provider Demographics
NPI:1437826815
Name:HEMINGWAY, KRYSTAL JEAN (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:KRYSTAL
Middle Name:JEAN
Last Name:HEMINGWAY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 W NEWBERRY RD STE 101
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4383
Mailing Address - Country:US
Mailing Address - Phone:352-333-4301
Mailing Address - Fax:352-333-4302
Practice Address - Street 1:6400 W NEWBERRY RD STE 101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4383
Practice Address - Country:US
Practice Address - Phone:352-333-4301
Practice Address - Fax:352-333-4302
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014042363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner