Young, Nakesha

Young, Nakesha is an sole proprietor health care provider with primary practice located at 135 Manseau Dr , Winter Haven FL 33880-1719. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Young, Nakesha can be contacted via phone (863) 595-6212.

Contact Information

Primary practice address
135 Manseau Dr Winter Haven FL 33880-1719
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 6906525 Florida

Profile Details

NPI number 1427464163
LBN Legal business name Young, Nakesha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2014
Last updated Dec 21st, 2017 - about 7 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 1427464163 NPPES
Florida MEDICAID 004488200

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