Individual
HOLLY BANCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
9545 N BEACH ST STE 101, FORT WORTH, TX 76244-6470
(817) 381-9650
Mailing address
7328 HOWLING COYOTE LN, FORT WORTH, TX 76131-2546
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1128103
TX
Other
Enumeration date
08/16/2024
Last updated
01/08/2025
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