Axley, Debra

Axley, Debra is an individual health care provider with primary practice located at 4400 Bayou Blvd Ste 43 , Pensacola FL 32503-1910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Axley, Debra can be contacted via phone (850) 477-3015.

Contact Information

Primary practice address
4400 Bayou Blvd Ste 43 Pensacola FL 32503-1910
Phone: (850) 477-3015
Fax: (850) 477-3026
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1012172 Florida

Profile Details

NPI number 1184797458
LBN Legal business name Axley, Debra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Sep 17th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184797458 NPPES
Other P00316280 RRB PTAN
MEDICAID 306445000 RRB PTAN

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