Individual
KRISTY VERHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1438 E RUSK ST, JACKSONVILLE, TX 75766-3450
(903) 721-3250
Mailing address
1438 E RUSK ST, JACKSONVILLE, TX 75766-3450
(903) 721-3250
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
657357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
657357
TEXAS STATE BOARD OF NURSING
TX
Enumeration date
02/07/2014
Last updated
08/06/2024
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