# DIVERSE CARE CLINIC OF CANTON PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437006061
- **Authorized official:** CASSIDY JONES FNP-C (OWNER)
- **Authorized official phone:** (214) 801-8361

## Contact information

- **Practice address:** 658 S TRADE DAYS BLVD, CANTON, TX 75103-1826
- **Practice address phone:** (214) 801-8361
- **Mailing address:** 658 S TRADE DAYS BLVD, CANTON, TX 75103-1826
- **Mailing address phone:** (903) 213-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2026
- **Last updated:** 03/31/2026