CHARISSA H BASKETTE (Credential# 1417114) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
CHARISSA H BASKETTE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.007049. The credential type is advanced practice registered nurse. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 3061 Valley Home Road, White Pine, TN 37890. The current status is active.
| Licensee Name | CHARISSA H BASKETTE |
| Credential ID | 1417114 |
| Credential Number | 12.007049 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
3061 Valley Home Road White Pine TN 37890 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2017-06-21 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-01-30 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1415943 | 10.141839 | Registered Nurse | 2017-04-24 | 2020-03-01 - 2021-02-28 | ACTIVE |
| 1433199 | CSP.0066023 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2017-06-23 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1416914 | 10.141547-TEMP | Registered Nurse - Temporary | 2017-04-07 | 2017-04-07 - 2017-08-04 | INACTIVE |
| Street Address | 3061 Valley Home Road |
| City | White Pine |
| State | TN |
| Zip Code | 37890 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Heather M Macdonald Salerno | 3549 Mountain View Lane, Baneberry, TN 37890 | Registered Nurse | 2008-08-11 ~ 2009-07-31 |
| Michele Burnham Parks | 3016 Harrison Rd, White Pine, TN 37890-3116 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Volunteer Firefighter Alliance Inc · Firefighter Cancer Alliance | 3121 Circle Dr, White Pine, TN 37890-3307 | Public Charity | 2019-12-16 ~ 2020-11-30 |
| Nancy P Broughton | 3722 Mountain View Ln, Baneberry, TN 37890-4817 | Occupational Therapist Assistant | 2009-05-15 ~ 2011-07-31 |
| City | White Pine |
| Zip Code | 37890 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + White Pine |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Nicole Sandilands | 253 Woodrow Ave, Southport, CT 06890 | Advanced Practice Registered Nurse | ~ |
| Sue A Smolski | 39 Farmington Ave, Plainville, CT 06062 | Advanced Practice Registered Nurse | 2016-07-01 ~ 2017-06-30 |
| Christine M Byrnes | Po Box 777, Copake, NY 12516 | Advanced Practice Registered Nurse | 2006-07-14 ~ 2007-08-31 |
| Mark G Keefe | 4 Stuart Dr, Coventry, RI 02816-7010 | Advanced Practice Registered Nurse | ~ |
| Maury G Barrett | 185 Massachusetts Ave Apt 803, Boston, MA 02115-3035 | Advanced Practice Registered Nurse | ~ |
| Daniel M Hemrick | 709 Braddock Ave, Mountain Brk, AL 35213-2515 | Advanced Practice Registered Nurse | ~ |
| L. Ann Whitaker | 20 Sconset Ln, Guilford, CT 06437-1899 | Advanced Practice Registered Nurse | 2017-11-01 ~ 2018-10-31 |
| Ann K Murtaugh | 68 Wardwell Dr, New Canaan, CT 06840 | Advanced Practice Registered Nurse | 1998-01-06 ~ 1999-02-28 |
| Ann B Williams | 433 E 51st St Apt 10a, New York, NY 10022-6472 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Please comment or provide details below to improve the information on CHARISSA H BASKETTE.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).