Provider Demographics
NPI:1659514826
Name:CROWSEY, JESSICA A (LVN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:CROWSEY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5941 LLANO AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-6319
Mailing Address - Country:US
Mailing Address - Phone:972-762-1446
Mailing Address - Fax:
Practice Address - Street 1:5941 LLANO AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-6319
Practice Address - Country:US
Practice Address - Phone:972-762-1446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206430251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health