Individual
MIKIA KILCREASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5151 MAPLE AVE, DALLAS, TX 75235-8136
(214) 266-0013
Mailing address
8905 SAN JOAQUIN TRL, FORT WORTH, TX 76118-7519
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1099281
TX
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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