Individual
KERONNE ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP,MSN,APRN,FNP-BC
Contact information
Practice address
555 MARIN ST, THOUSAND OAKS, CA 91360-4236
(689) 221-2774
Mailing address
555 MARIN ST, THOUSAND OAKS, CA 91360-4236
(689) 221-2774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
950330132
CA
Other
Enumeration date
09/08/2022
Last updated
08/28/2025
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