Provider Demographics
NPI:1417107624
Name:ISOKE, NEFERTITI RASHIDAH (RN, LCSW, CRNP)
Entity type:Individual
Prefix:MS
First Name:NEFERTITI
Middle Name:RASHIDAH
Last Name:ISOKE
Suffix:
Gender:F
Credentials:RN, LCSW, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2943 OLD WELSH RD
Mailing Address - Street 2:2
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-3835
Mailing Address - Country:US
Mailing Address - Phone:610-931-2010
Mailing Address - Fax:
Practice Address - Street 1:1700 SANSOM ST FL 6
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5214
Practice Address - Country:US
Practice Address - Phone:484-775-0553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-24
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0163971041C0700X
PARN733119163W00000X
NY406157363LP0808X
PAMI9390749363LP0808X
PANPPA066194363LP0808X
PASP031492363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163W00000XNursing Service ProvidersRegistered Nurse