Individual
STACY SUE CROWNOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1500 S MAIN ST FL 2, FORT WORTH, TX 76104-4917
(817) 702-3636
(817) 927-8769
Mailing address
1136 HUMMINGBIRD LN, GLEN ROSE, TX 76043-6910
(432) 631-5933
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP135935
TX
Other
Enumeration date
03/02/2018
Last updated
04/26/2021
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