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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DESTINY CRUMBLE
NPI 1295652360
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since June 30, 2026
2402 OLD MIDDLEBURG RD N, JACKSONVILLE, FL 32210(757) 822-0454 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Destiny Crumble NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY CRUMBLE (NPI 1295652360) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (9642834) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1295652360
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDESTINY CRUMBLE
Location Address2402 OLD MIDDLEBURG RD NJacksonville, FL 32210-3509
Mailing Address2402 Old Middleburg Rd NJacksonville, FL 32210-3509 · (757) 822-0454
Phone(757) 822-0454
Sole ProprietorNo
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1295652360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · 9642834
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2402 OLD MIDDLEBURG RD N, Jacksonville, FL 32210
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Crumble's NPI number?

The NPI number for Destiny Crumble is 1295652360. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Destiny Crumble located?

Destiny Crumble practices at 2402 Old Middleburg Rd N, Jacksonville, FL 32210. The listed phone number is (757) 822-0454.

What is Destiny Crumble's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Destiny Crumble was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.