MEDICARE: DR. HEATHER NICOLE MCCRACKIN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1135435	TX
2	363LP2300X	Primary Care Nurse Practitioner	1135435	TX
3	363L00000X	Nurse Practitioner	1135435	TX

General Provider Information

NPI Number	:	1649951757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER NICOLE MCCRACKIN FNP

Provider Business Mailing Address
First Line	:	8714 SPRING CYPRESS RD STE 170
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3396
Country	:	US
Telephone Number	:	346-808-7084
Fax Number	:

Provider Business Practice Location Address
First Line	:	8714 SPRING CYPRESS RD STE 170
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-3396
Country	:	US
Telephone Number	:	346-808-7084
Fax Number	:	346-740-1927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	06/03/2025

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