Provider Demographics
NPI:1851109243
Name:GOWKARAN, NIKEESHA (FNP-BC)
Entity type:Individual
Prefix:
First Name:NIKEESHA
Middle Name:
Last Name:GOWKARAN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2183 MAN OF WAR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-5549
Mailing Address - Country:US
Mailing Address - Phone:954-235-0896
Mailing Address - Fax:
Practice Address - Street 1:2183 MAN OF WAR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-5549
Practice Address - Country:US
Practice Address - Phone:954-235-0896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11034289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily