Johnson, Nikita Kenyetta

Johnson, Nikita Kenyetta is an sole proprietor health care provider with primary practice located at 8407 Main St Ste 3A , Ellicott City MD 21043-4867. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Johnson, Nikita Kenyetta can be contacted via phone (443) 570-5414.

Contact Information

Primary practice address
8407 Main St Ste 3A Ellicott City MD 21043-4867
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1366084824
LBN Legal business name Johnson, Nikita Kenyetta
Credentials CPM-S, CST-OB, PCT,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2019
Last updated Aug 19th, 2022 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366084824 NPPES
Maryland MEDICAID 000000000000000000
Maryland Other 000000000000000000

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