Provider Demographics
NPI:1487788725
Name:CHILTON, NAKIA MICHELE (LPN)
Entity type:Individual
Prefix:MS
First Name:NAKIA
Middle Name:MICHELE
Last Name:CHILTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16311 WOODLAWN ACRES AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5657
Mailing Address - Country:US
Mailing Address - Phone:225-571-3185
Mailing Address - Fax:
Practice Address - Street 1:8126 JEFFERSON PARK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-6324
Practice Address - Country:US
Practice Address - Phone:225-610-0493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMBE36399877K174400000X
LAOBHPSS1194175T00000X
LA250415164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No174400000XOther Service ProvidersSpecialist
No175T00000XOther Service ProvidersPeer Specialist