Braxton, Charisse Alene

Braxton, Charisse Alene is an individual health care provider with primary practice located at 3615 Marietta Hwy , Dallas GA 30157-9472. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Braxton, Charisse Alene can be contacted via phone (770) 505-9592.

Contact Information

Primary practice address
3615 Marietta Hwy Dallas GA 30157-9472
Phone: (770) 505-9592
Fax: (770) 505-7480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN143102 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN143102 Georgia

Profile Details

NPI number 1285678482
LBN Legal business name Braxton, Charisse Alene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 24th, 2008 - about 18 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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