Individual
DR. ALEISA BAKSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1612 JONES BRIDGE RD, BLACKVILLE, SC 29817-3066
(803) 284-4313
Mailing address
529 RALEIGH DR, GRANITEVILLE, SC 29829-4123
(803) 295-6179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29221
SC
363LF0000X
Family Nurse Practitioner
GAA-NP002540
GA
Other
Enumeration date
08/19/2024
Last updated
11/26/2025
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