Provider Demographics
NPI:1124621768
Name:ASBEY, NIKKISHA
Entity type:Individual
Prefix:
First Name:NIKKISHA
Middle Name:
Last Name:ASBEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2463 PENNLYN DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4259
Mailing Address - Country:US
Mailing Address - Phone:850-222-3916
Mailing Address - Fax:
Practice Address - Street 1:2463 PENNLYN DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4259
Practice Address - Country:US
Practice Address - Phone:850-222-3916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker