Individual
JAISHREE RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1300 S UNIVERSITY DR STE 306, FORT WORTH, TX 76107-5746
(844) 824-8775
Mailing address
2718 FERNCREST TRL, MANSFIELD, TX 76063-7591
(817) 713-2757
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1069904
TX
Other
Enumeration date
02/05/2022
Last updated
01/09/2023
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