Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Danise A Petticrew, RN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1952359200

Danise A Petticrew, RN, FNP-C is a Nurse Practitioner in Paris, Texas. Qualified in 1992, 34 years ago. Practices with Southcentral Foundation, a 170-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
34
Licensed in
TX
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

635 Stone Ave
Paris, TX 75460-9342
Phone: (903) 785-3300
Fax: (903) 785-3310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 249797 (TX)

Record details

NPI number1952359200
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , FNP-C
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESJanuary 29, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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