Charisse Alene Braxton, FNP Valid NPI
Individual provider · Family Nurse Practitioner · Dallas, GA
- NPI
- 1285678482
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- RN143102 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-06-16
- Last updated
- 2008-07-24
Practice location
3615 Marietta Hwy
Dallas, GA 30157-9472
(770) 505-9592