Provider Demographics
NPI:1245736388
Name:CROWLEY, STEVANI (RN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:STEVANI
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ABNER JACKSON PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5157
Mailing Address - Country:US
Mailing Address - Phone:979-297-9086
Mailing Address - Fax:
Practice Address - Street 1:115 ABNER JACKSON PKWY STE C
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5157
Practice Address - Country:US
Practice Address - Phone:979-297-9086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty