Healthcare Provider Details

I. General information

NPI: 1922688225
Provider Name (Legal Business Name): ALEXIS MARIE CASON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXIS MARIE BUSCH

II. Dates (important events)

Enumeration Date: 04/11/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 CHIMNEY CORNER LN STE 1002
JUPITER FL
33458-4801
US

IV. Provider business mailing address

224 CHIMNEY CORNER LN STE 1002
JUPITER FL
33458-4801
US

V. Phone/Fax

Practice location:
  • Phone: 561-257-4100
  • Fax:
Mailing address:
  • Phone: 561-257-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11033294
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9464002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: