Individual
LETISHA DRISKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11240 N 19TH AVE STE 23, PHOENIX, AZ 85029-4825
(425) 243-3719
Mailing address
7421 S 23RD DR, PHOENIX, AZ 85041-5483
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TEMP338183
AZ
363LF0000X
Family Nurse Practitioner
0024194261
VA
Other
Enumeration date
08/13/2025
Last updated
07/31/2026
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