Individual
CASSANDRA JO CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1715 SANTA FE DR, WEATHERFORD, TX 76086-6419
(817) 599-7634
Mailing address
2101 W PEARL ST, GRANBURY, TX 76048-1894
(817) 579-4400
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
773911
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1060089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434217201
—
TX
Enumeration date
11/05/2021
Last updated
10/27/2022
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