MRS. FNP Charisse Alene Braxton, NPI 1285678482
Family Nurse Practitioner in Dallas, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1285678482
NPI Entity Type Individual
Provider Name MRS. FNP Charisse Alene Braxton
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3615 Marietta Hwy, Dallas, GA, US
Provider Mailing Address 9 Greenway Plz, Suite 2950, Houston, TX, US, 770460905
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. RN143102
License State GA
Description Definition to come...

Other Name

Charisse Alene Gathers
Former Name

Business Address

MRS. FNP Charisse Alene Braxton
3615 Marietta Hwy

Dallas, GA, US

Phone: 770-505-9592
Fax: 770-505-7480

Mailing Address

MRS. FNP Charisse Alene Braxton
9 Greenway Plz
Suite 2950
Houston, TX, US
ZIP 770460905
Phone: 866-607-7334
Fax: 713-358-4849

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

163W00000X

Nursing Service Providers

Registered Nurse

RN143102 CA No

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NPI Name Taxonomy Address

1386307460

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Organization

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Organization

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Organization

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Organization

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Organization

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6115 Peachtree Dunwoody Rd Ste 210

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