Provider Demographics
NPI:1669772125
Name:ROUNDTREE CLECKLEY, MONICA DESHAUN (DNP, APRN-BC, NP-C)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:DESHAUN
Last Name:ROUNDTREE CLECKLEY
Suffix:
Gender:F
Credentials:DNP, APRN-BC, NP-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:326 W BOYNTON BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-4025
Mailing Address - Country:US
Mailing Address - Phone:561-767-8230
Mailing Address - Fax:561-767-8231
Practice Address - Street 1:326 W BOYNTON BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-4025
Practice Address - Country:US
Practice Address - Phone:561-767-8230
Practice Address - Fax:561-767-8231
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2021-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9203510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily