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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

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