Kenesha Shashana Ricketts
NPI #1285312157 in Miami Gardens, Florida
Provider Information
- NPI Number
- 1285312157
- Entity Type
- Individual
- Name
- Kenesha Shashana Ricketts
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 10, 2023
- Last Updated
- Jul 10, 2023
Practice Location
- Address
- 16401 NORTHWEST 37TH AVE
- City
- Miami Gardens
- State
- Florida
- ZIP Code
- 33054
- Phone
- (954) 391-0036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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