Individual provider · Type 1 NPI
Stacy Sue Crownover, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Fort Worth, TX
NPI number
1528560844
Active
Practice location
1500 S Main St Fl 2
Fort Worth, TX 76104-4917
Fax (817) 927-8769
Mailing address
1136 Hummingbird Ln
Glen Rose, TX 76043-6910
Other practice locations
- 1601 N Anglin St, Cleburne, TX 76031-1835 · (817) 202-2732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP135935 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1528560844
Stacy Sue Crownover, PMHNP's National Provider Identifier is 1528560844, issued on Mar 2, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 26, 2021.