Hackney, Deisa Delena
Hackney, Deisa Delena is an sole proprietor health care provider with primary practice located at 525 Metro Pl N Ste 300 , Dublin OH 43017-5320. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Hackney, Deisa Delena can be contacted via phone (855) 289-1722.Contact Information
Primary practice address
525 Metro Pl N Ste 300
Dublin OH 43017-5320
Phone: (855) 289-1722
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN.368133 | Ohio |
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN.116865-MEDS | Ohio |
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | RN.368133 | Ohio |
Profile Details
NPI number | 1376821538 |
---|---|
LBN Legal business name | Hackney, Deisa Delena |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2011 |
Last updated | Mar 19th, 2024 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376821538 | NPPES |
Ohio | MEDICAID | 2910854 |
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