Provider Demographics
NPI:1982332516
Name:ELDER, NAKEISHA (LVN)
Entity type:Individual
Prefix:
First Name:NAKEISHA
Middle Name:
Last Name:ELDER
Suffix:
Gender:
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3969 MIAMI SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-1464
Mailing Address - Country:US
Mailing Address - Phone:214-912-0122
Mailing Address - Fax:
Practice Address - Street 1:3969 MIAMI SPRINGS DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76123-1464
Practice Address - Country:US
Practice Address - Phone:214-912-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care