Mrs. Alicia Anne Prucknic, RN, BSN, CCM
Mrs. Alicia Anne Prucknic, RN, BSN, CCM is a Nurse Practitioner in Brownstown Twp, Michigan. Qualified in 2023, 3 years ago. Practices with Commerce Sports and Spine PLLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.
- Years since qualifying
- 3
- Licensed in
- MI
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
Practice location Address checks out
23772 W Rd # 262Brownstown Twp, MI 48183-3050
Phone: (734) 788-9111
Fax: (734) 941-3264
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 4704244622 (MI) |
|---|---|
| Case Management Registered Nurse | Taxonomy 163WC0400X · Licence 4704244622 (MI) |
| Psychiatric/Mental Health Clinical Nurse Specialist | Taxonomy 364SP0808X · Licence 4704244622 (MI) |
Record details
| NPI number | 1336814599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RN , BSN , CCM |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2021 |
| Last updated in NPPES | February 13, 2025 |
| Certification date | February 13, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Commerce Sports And Spine Pllc — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |