Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB E. CREVISTON, DNP, RN, PMHNP-BC
Active Sole ProprietorDR. JACOB E. CREVISTON, DNP, RN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1528460813 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PORTLAND, OR
Registration Details
- NPI Number
- 1528460813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2014 (11.929173580222 yrs)
- Last Updated
- Sep 20, 2024
- Licenses
-
201405518NP-PP (OR)200841169RN (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1308 NW 20TH AVE STE 8PORTLAND, OR, 972091607Browse OR providers · Browse ZIP 97209
- Phone
- 9712135986
- Fax
- 5034058124
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Registered Nurse
Other Psychiatric/Mental Health Nurse Practitioner Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL SHYCHY WILLEFORD | PMHNP | 1548260268 |
| MS. BRENDA CAROL HEROLD | PMHNP | 1629062518 |
| JENNIFER REBECCA MILLER | ARNP | 1235124603 |
| MS. TERESA CATHERINE KEANE | RN, MSN, PMHNP | 1124017553 |
| MS. SUSAN TERESA MURPHY | PMHNP | 1114918216 |
| CAROL D DODSON | RN, MS, PMHNP | 1215918974 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.