MEDICARE: ALEXIS MARIE CASON FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	9464002	FL
2	363LF0000X	Family Nurse Practitioner	11033294	FL

General Provider Information

NPI Number	:	1922688225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS MARIE CASON FNP-BC

Provider Business Mailing Address
First Line	:	2810 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-1538
Country	:	US
Telephone Number	:	630-639-9289
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 S DIXIE HWY
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-1538
Country	:	US
Telephone Number	:	630-639-9289
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2021
Last Update Date	:	08/26/2024

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