Individual provider · Type 1 NPI
Krystel Leann Long, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Desoto, TX
NPI number
1235895491
Active
Practice location
1301 E Parkerville Rd Ste A8-1073
Desoto, TX 75115-6420
Fax (469) 772-5503
Mailing address
2151 Candace Dr
Lancaster, TX 75146-4946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1059580 (TX) |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 834615 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1235895491
Krystel Leann Long, PMHNP's National Provider Identifier is 1235895491, issued on Nov 11, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Desoto, TX. The record was last updated on Sep 25, 2025.