Provider Demographics
NPI:1194428946
Name:MCCARVER, TASHANIQUE LICHELLE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TASHANIQUE
Middle Name:LICHELLE
Last Name:MCCARVER
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 PALOMA DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-2562
Mailing Address - Country:US
Mailing Address - Phone:707-235-2806
Mailing Address - Fax:
Practice Address - Street 1:7424 GREENVILLE AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4552
Practice Address - Country:US
Practice Address - Phone:214-368-1485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1082626363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily