person
Ms. Charlene Alicia Ricketts, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Boynton Beach, Florida
NPI 1598413221

Charlene Alicia Ricketts is a Psychiatric/Mental Health Nurse Practitioner based in North Miami, FL and is specialized in Psychiatric/Mental Health. Charlene Alicia Ricketts practices in Boynton Beach, FL and has the professional credentials of PMHNP. The NPI Number for Charlene Alicia Ricketts is 1598413221 and holds a License No. 11018494 (Florida).

The current practice location address for Charlene Alicia Ricketts is 10301 Hagen Ranch Rd Ste B200, Boynton Beach, FL and can be reached out via phone at 561-752-9490 and via fax at 561-752-9491.

Location: 10301 Hagen Ranch Rd Ste B200, Boynton Beach, FL, 33161-5833
person
Provider Profile Details
NPI Number
1598413221
Provider Name
Charlene Alicia Ricketts
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
10301 Hagen Ranch Rd Ste B200, Boynton Beach, FL, 33161-5833
Phone Number
561-752-9490
Fax Number
561-752-9491
Provider Enumeration Date
03/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113751100 05 FL
institution
Provider Business Practice Location Address Details
Address
10301 Hagen Ranch Rd Ste B200
City
State
Zip
33437-3723
Phone Number
561-752-9490
Fax Number
561-752-9491
person
Provider Business Mailing Address Details
Address
10301 Hagen Ranch Rd Ste B200
City
State
Zip
33437-3723
Phone Number
561-752-9490
Fax Number
561-752-9491
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
11018494 (Florida)
Definition
Definition to come...
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