Alexis, Keronne N/A
Alexis, Keronne N/A is an individual health care provider with primary practice located at 870 Sw 64Th Ave , North Lauderdale FL 33068-2731. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Alexis, Keronne N/A can be contacted via phone (689) 221-2774.Contact Information
Primary practice address
870 Sw 64Th Ave
North Lauderdale FL 33068-2731
Phone: (689) 221-2774
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 143506 | Florida |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 143506 | Florida |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 143506 | Florida |
Profile Details
NPI number | 1205557006 |
---|---|
LBN Legal business name | Alexis, Keronne N/A |
Credentials | ADVANCE PRACTICE RN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 8th, 2022 |
Last updated | Sep 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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