Provider Demographics
NPI:1396260329
Name:HARPER, NIKIETA TERCHAE (HOME HEALTH)
Entity type:Individual
Prefix:MS
First Name:NIKIETA
Middle Name:TERCHAE
Last Name:HARPER
Suffix:
Gender:F
Credentials:HOME HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 ATHENA LN APT 32A
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-2030
Mailing Address - Country:US
Mailing Address - Phone:404-454-0633
Mailing Address - Fax:
Practice Address - Street 1:2900 ATHENA LN APT 32A
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-2030
Practice Address - Country:US
Practice Address - Phone:404-454-0633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-10
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health