Provider Demographics
NPI:1588492540
Name:HAMPTON, NAKIEA JOVAN
Entity type:Individual
Prefix:
First Name:NAKIEA
Middle Name:JOVAN
Last Name:HAMPTON
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 1:10 WALKERS CAY CT
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:GA
Mailing Address - Zip Code:31302-8147
Mailing Address - Country:US
Mailing Address - Phone:912-661-9868
Mailing Address - Fax:
Practice Address - Street 1:611 US HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:GA
Practice Address - Zip Code:31408-3109
Practice Address - Country:US
Practice Address - Phone:912-661-9868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XR0403XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistDriving and Community Mobility