Judkins, Takeisha

Judkins, Takeisha is an sole proprietor health care provider with primary practice located at 17301 141Rd Rd , Jamaica NY 11434-4620. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Judkins, Takeisha can be contacted via phone (718) 522-0832.

Contact Information

Primary practice address
17301 141Rd Rd Jamaica NY 11434-4620
Phone: (718) 522-0832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 672632 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 348062 New York

Profile Details

NPI number 1891066429
LBN Legal business name Judkins, Takeisha
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2012
Last updated Aug 16th, 2021 - about 3 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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