Provider Demographics
NPI:1225721202
Name:ENGLISH, MARKECIA (CNA)
Entity Type:Individual
Prefix:
First Name:MARKECIA
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10484
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32120-0484
Mailing Address - Country:US
Mailing Address - Phone:386-344-8562
Mailing Address - Fax:
Practice Address - Street 1:315 WILDER BLVD APT 205
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-7004
Practice Address - Country:US
Practice Address - Phone:386-344-8562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2029012364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome Health