person
Raven Cross
Psychiatric/Mental Health Nurse Practitioner in San Jose, California
NPI 1114596624

Raven Cross is a Psychiatric/Mental Health Nurse Practitioner based in San Jose, CA and is specialized in Psychiatric/Mental Health. Raven Cross practices in San Jose, CA. The NPI Number for Raven Cross is 1114596624 and holds a License No. 95142217 (California).

The current practice location address for Raven Cross is 1165 Lincoln Ave Ste 150, San Jose, CA and can be reached out via phone at 408-372-8580. You can also correspond with Raven Cross through the mailing address at 1165 LINCOLN AVE STE 150, SAN JOSE, CA - 95125-3045 (mailing address contact number: ).

Location: 1165 Lincoln Ave Ste 150, San Jose, CA, 95125-3045
person
Provider Profile Details
NPI Number
1114596624
Provider Name
Raven Cross
Credential
Provider Entity Type
Individual
Gender
Female
Address
1165 Lincoln Ave Ste 150, San Jose, CA, 95125-3045
Phone Number
408-372-8580
Fax Number
Provider Enumeration Date
06/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1165 Lincoln Ave Ste 150
City
State
Zip
95125-3045
Phone Number
408-372-8580
Fax Number
person
Provider Business Mailing Address Details
Address
1165 Lincoln Ave Ste 150
City
State
Zip
95125-3045
Phone Number
408-372-8580
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
0024183375 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
95142217 (California)
Definition
Definition to come...
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