Healthcare Provider Details

I. General information

NPI: 1790657674
Provider Name (Legal Business Name): YOKASTA FELIZ RN, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8808 MIRANDA DR
RALEIGH NC
27617-7674
US

IV. Provider business mailing address

8808 MIRANDA DR
RALEIGH NC
27617-7674
US

V. Phone/Fax

Practice location:
  • Phone: 352-216-8444
  • Fax:
Mailing address:
  • Phone: 352-216-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number242545
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: