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BENNIE EDWARD CRUDUP LPN
NPI 1336261627
Licensed Practical Nurse in Decatur, GA

Active since April 06, 2007
440 WINN WAY, RM 2118, DECATUR, GA 30030(404) 508-7857(404) 508-7826 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bennie Edward Crudup Lpn NPPES

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

BENNIE EDWARD CRUDUP LPN (NPI 1336261627) is an individual licensed practical nurse in Decatur, Georgia, licensed in Georgia (LPN067878) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1336261627
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameBENNIE EDWARD CRUDUPCredential: LPN
Location Address440 WINN WAY, RM 2118Decatur, GA 30030-1715
Mailing Address440 Winn Way, Rm 2118Decatur, GA 30030-1715 · (404) 508-7857 · Fax (404) 508-7826
Phone(404) 508-7857
Fax(404) 508-7826
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336261627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in GA · LPN067878
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
440 WINN WAY, Decatur, GA 30030
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEKALB COMMUNITY SERVICE BOARD
Community/Behavioral Health
440 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-6413
MARY L PURCELL RN ACRN
Registered Nurse
440 WINN WAY
DECATUR, GA 30030
Dekalb County (770) 378-8932
WANDA AKER RN
Registered Nurse
440 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3762
CAROLYN BROWN MARTIN RN
Registered Nurse
440 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-7857
KIMBERLY ALLEN
Licensed Practical Nurse
440 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-7964
CHARLENE ANDREA JEANPIERRE RN
Registered Nurse
440 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3762
MS. TAMIKA VAREEN ALLEN MA
Social Worker
440 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-3762
MOHAMED TALOULI
Registered Nurse (Psychiatric/Mental Health)
440 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 294-0499

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 Bennie Crudup's NPI number?

The NPI number for Bennie Crudup is 1336261627. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Bennie Crudup located?

Bennie Crudup practices at 440 Winn Way Rm 2118, Decatur, GA 30030. The listed phone number is (404) 508-7857.

What is Bennie Crudup's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Bennie Crudup was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.