Individual
MRS. CHARISSE ALENE BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3615 MARIETTA HWY, DALLAS, GA 30157-9472
(770) 505-9592
(770) 505-7480
Mailing address
9 GREENWAY PLZ, SUITE 2950, HOUSTON, TX 77046-0905
(866) 607-7334
(713) 358-4849
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN143102
CA
363LF0000X
Family Nurse Practitioner
Primary
RN143102
GA
Other
Enumeration date
06/16/2006
Last updated
07/24/2008
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