Provider Demographics
NPI:1407324700
Name:POUNCEY, CHEREZ (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:CHEREZ
Middle Name:
Last Name:POUNCEY
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8726 PISA DR APT 727
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-2137
Mailing Address - Country:US
Mailing Address - Phone:850-544-9866
Mailing Address - Fax:
Practice Address - Street 1:8726 PISA DR APT 727
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-2137
Practice Address - Country:US
Practice Address - Phone:850-544-9866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily