Crow, Cassandra Jo

Crow, Cassandra Jo is an individual health care provider with primary practice located at 1715 Santa Fe Dr , Weatherford TX 76086-6419. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Crow, Cassandra Jo can be contacted via phone (817) 599-7634.

Contact Information

Primary practice address
1715 Santa Fe Dr Weatherford TX 76086-6419
Phone: (817) 599-7634
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 773911 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1060089 Texas

Profile Details

NPI number 1285399147
LBN Legal business name Crow, Cassandra Jo
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2021
Last updated Oct 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285399147 NPPES
Texas MEDICAID 434217201

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