Provider Demographics
NPI:1386253763
Name:CHALMERS, NKITTA
Entity type:Individual
Prefix:
First Name:NKITTA
Middle Name:
Last Name:CHALMERS
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:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-0352
Mailing Address - Country:US
Mailing Address - Phone:352-425-7802
Mailing Address - Fax:
Practice Address - Street 1:3900 SE 17TH CT APT A
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-8811
Practice Address - Country:US
Practice Address - Phone:352-425-7802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL205283376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide