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Organization
DIVERSE CARE CLINIC OF CANTON PLLC
Active
Organization
DIVERSE CARE CLINIC OF CANTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY JONES FNP-C (OWNER)
(214) 801-8361
Entity
Organization
Contact information
Practice address
658 S TRADE DAYS BLVD, CANTON, TX 75103-1826
(214) 801-8361
Mailing address
658 S TRADE DAYS BLVD, CANTON, TX 75103-1826
(903) 213-2099
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2026
Last updated
03/31/2026
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