Individual provider · Type 1 NPI
Kenesha Shashana Ricketts
Psychiatric/Mental Health Nurse Practitioner · Miami Gardens, FL
NPI number
1285312157
Active
Practice location
16401 Northwest 37th Ave
Miami Gardens, FL 33054
Mailing address
3225 N Hiatus Rd Unit 451432
Fort Lauderdale, FL 33345-8472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11027169 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1285312157
Kenesha Shashana Ricketts's National Provider Identifier is 1285312157, issued on Jul 10, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Miami Gardens, FL. The record was last updated on Sep 24, 2026.