Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Cross

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1114596624

Raven Cross is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in San Jose, California. Practices as a sole proprietor. Licensed in California and Virginia.

Licensed in
CA, VA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

1165 Lincoln Ave Ste 150
San Jose, CA 95125-3045
Phone: (408) 372-8580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95019647 (CA)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 95142217 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0024183375 (VA)

Record details

NPI number1114596624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 18, 2021
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing address1165 Lincoln Ave Ste 150, San Jose, CA 95125-3045

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