Active NPIIndividual provider

Desirae C Kernizan, APRN

Registered Nurse, Psych/Mental Health in Weston, Massachusetts

NPI Number1144044835
Practice location
235 Wellesley St Ste 1, Weston, MA 02493-1571
Fax
—
Last updated
March 12, 2025

Desirae Comer Kernizan is a Registered Nurse, Psych/Mental Health based in Weston, MA. Desirae Comer Kernizan practices in Weston, MA and has the professional credentials of APRN. The NPI Number for Desirae Comer Kernizan is 1144044835 and holds a License No. RN2292929 (MA). The current practice location address for Desirae Comer Kernizan is 235 Wellesley St Ste 1, Weston, MA 02493-1571 and can be reached out via phone at 860-416-3208.

Provider Profile Details

NPI Number
1144044835
Provider Name
Desirae Comer Kernizan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
235 Wellesley St Ste 1, Weston, MA 02493-1571
Phone Number
860-416-3208
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
No
Provider Enumeration Date
November 11, 2024
Last Update Date
March 12, 2025
Certification Date
March 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
235 Wellesley St Ste 1
Weston, MA 02493-1571
City
Weston
Zip
02493-1571
Phone Number
860-416-3208
Weston, MA 02493Get directions →

Provider Business Mailing Address Details

Address
235 Wellesley St Ste 1
Weston, MA 02493-1571
City
Weston
State
MA
Zip
02493-1571

License Information

License Number (1)
RN2292929
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
RN2292929
License State (2)
MA
Taxonomy (2)
Registered Nurse, Psych/Mental Health · 163WP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Desirae C Kernizan, APRN?

The NPI number of Desirae C Kernizan, APRN is 1144044835. It was assigned on November 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Desirae C Kernizan, APRN?

Desirae C Kernizan, APRN is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X), licensed in MA under license number RN2292929.

Where does Desirae C Kernizan, APRN practice?

The practice location is 235 Wellesley St Ste 1, Weston, MA 02493-1571. The office can be reached at 860-416-3208 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144044835 directly on the NPPES registry website.

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