Provider Demographics
NPI:1831715366
Name:DRAYTON, ALEXIS VANEISHA (APRN)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:VANEISHA
Last Name:DRAYTON
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 NW 33RD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1937
Mailing Address - Country:US
Mailing Address - Phone:844-665-4827
Mailing Address - Fax:855-785-2883
Practice Address - Street 1:3617 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-5713
Practice Address - Country:US
Practice Address - Phone:813-675-2020
Practice Address - Fax:855-785-2883
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10000044363LF0000X
FLAPRN11007531363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily