Roberts, Nikisha Nicole

Roberts, Nikisha Nicole is an individual health care provider with primary practice located at 1989 W Lumsden Rd , Brandon FL 33511-8821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Roberts, Nikisha Nicole can be contacted via phone (813) 653-3111.

Contact Information

Primary practice address
1989 W Lumsden Rd Brandon FL 33511-8821
Phone: (813) 653-3111
Fax: (813) 653-1384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102619 Florida

Profile Details

NPI number 1881796035
LBN Legal business name Roberts, Nikisha Nicole
Credentials MPH PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Sep 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881796035 NPPES
Florida MEDICAID 101660400

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