Individual
LAKEESHA SUMONE BROUGHTON-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
233 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 239-2622
Mailing address
233 WINTON BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 239-2622
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-164831
AL
Other
Enumeration date
07/25/2022
Last updated
11/03/2022
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