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Kenesha Shashana Ricketts
Psychiatric/Mental Health Nurse Practitioner in Miami Gardens, Florida
NPI 1285312157

Kenesha Shashana Ricketts is a Psychiatric/Mental Health Nurse Practitioner based in Fort Lauderdale, FL and is specialized in Psychiatric/Mental Health. Kenesha Shashana Ricketts practices in Miami Gardens, FL. The NPI Number for Kenesha Shashana Ricketts is 1285312157 and holds a License No. 11027169 (Florida).

The current practice location address for Kenesha Shashana Ricketts is 16401 Northwest 37Th Ave, Miami Gardens, FL and can be reached out via phone at 954-391-0036.

Location: 16401 Northwest 37Th Ave, Miami Gardens, FL, 33345-8472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285312157
Provider Name
Kenesha Shashana Ricketts
Credential
Provider Entity Type
Individual
Gender
Female
Address
16401 Northwest 37Th Ave, Miami Gardens, FL, 33345-8472
Phone Number
954-391-0036
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16401 Northwest 37Th Ave
City
Miami Gardens
State
Florida
Zip
33054
Phone Number
954-391-0036
Fax Number
person
Provider Business Mailing Address Details
Address
16401 Northwest 37Th Ave
City
Miami Gardens
State
Florida
Zip
33054
Phone Number
954-391-0036
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
11027169 (Florida)
Definition
Definition to come...
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