Beverley Ann Crow, LVN
Individual provider Active NPI Licensed Vocational Nurse · Jacksboro, TX
NPI 1205970829 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1205970829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 82713 (TX)
- Practice address
- 7760 FM 4
Jacksboro, TX 76458-3622 - Phone
- (940) 567-3856
- Fax
- (940) 567-5256
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82713 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 82713 | TX | Yes |
Addresses
Primary practice location
7760 FM 4
Jacksboro, TX 76458-3622
Mailing address
7760 FM 4
Jacksboro, TX 76458-3622
Phone (940) 567-3856
Other providers in Jacksboro, TX
- Ashley Mae Chitwood
- City Drug Store of Jacksboro, Inc
- Jessica Coker
- Concerned Citizens of Jack Co., Inc.
- Eileen Elizabeth Corson
- Courtney Lanette Curtner
- Morgan Nicole David
- Helen Marie Edwards
- Faith Community Hospital
- Faith Community Hospital Home Health
All providers in Jacksboro, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.