Provider Demographics
NPI:1396172631
Name:PRESTON, RAIGINA LENETTE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:RAIGINA
Middle Name:LENETTE
Last Name:PRESTON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 UNION PARK BLVD E
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1532
Mailing Address - Country:US
Mailing Address - Phone:770-596-5541
Mailing Address - Fax:
Practice Address - Street 1:1400 NORTH COIT RD
Practice Address - Street 2:STE 1004
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071
Practice Address - Country:US
Practice Address - Phone:469-489-0070
Practice Address - Fax:469-489-0068
Is Sole Proprietor?:No
Enumeration Date:2013-10-01
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX761386363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health