Provider Demographics
NPI:1750834826
Name:ABNER, ALIKIA SHAVON (FNP)
Entity Type:Individual
Prefix:
First Name:ALIKIA
Middle Name:SHAVON
Last Name:ABNER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALIKIA
Other - Middle Name:SHAVON
Other - Last Name:PROCTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2805 MISTYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3482
Mailing Address - Country:US
Mailing Address - Phone:210-870-9830
Mailing Address - Fax:
Practice Address - Street 1:113 PLEASANT VALLEY DR
Practice Address - Street 2:SUITE 210
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-5683
Practice Address - Country:US
Practice Address - Phone:830-267-4575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX778010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily