Provider Demographics
NPI:1770164907
Name:CROSSON, VANESSA TENE' (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:TENE'
Last Name:CROSSON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:TENE'
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 261017
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78426-1017
Mailing Address - Country:US
Mailing Address - Phone:361-452-4838
Mailing Address - Fax:
Practice Address - Street 1:5621 CORSICA ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-3901
Practice Address - Country:US
Practice Address - Phone:361-452-4838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX896220163W00000X
TX1046247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse