Individual
ALISHA KAY PREVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
Mailing address
105 CANYON LAKE CIR, LUMBERTON, TX 77657-3701
(409) 200-2220
(409) 440-3344
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1077025
TX
Other
Enumeration date
08/06/2020
Last updated
05/03/2026
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