Angie Crow, FNP
Individual provider Active NPI Family Nurse Practitioner · Horn Lake, MS
NPI 1407607997 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1407607997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 904222 (MS)
- Practice address
- 6935 Windchase Dr
Horn Lake, MS 38637-1452 - Phone
- (662) 404-0715
- NPI assigned
- Apr 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 904222 | MS | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 904222 | MS | Yes |
Addresses
Primary practice location
6935 Windchase Dr
Horn Lake, MS 38637-1452
Mailing address
6935 Windchase Dr
Horn Lake, MS 38637-1452
Phone (662) 404-0715
Other providers in Horn Lake, MS
- Comprehensive Psych Solutions
- Convenient Care Clinic, LLC
- Pranati Sheneria Copeland
- Ashley Marissa Craddock
- Sarah Frances Crain
- Shelly Curtis
- Christine Davidson
- Dental Professionals of Mississippi, P.C.
- Desoto Community Care Center LLC
- Gregory Kyle Dixon
All providers in Horn Lake, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. 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.