Individual
DEBRA AXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4400 BAYOU BLVD STE 43, PENSACOLA, FL 32503-1910
(850) 477-3015
(850) 477-3026
Mailing address
4400 BAYOU BLVD STE 43, PENSACOLA, FL 32503-1910
(850) 477-3015
(850) 477-3026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1012172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306445000
—
FL
01
—
P00316280
RRB PTAN
—
Enumeration date
11/16/2006
Last updated
09/17/2013
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