Individual
MRS. NKPOIKANA ISAAC JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SURREY GATE PL, CENTERVILLE, OH 45458-9280
(937) 520-8835
Mailing address
1360 MOLER AVE, KETTERING, OH 45420-2006
(937) 520-8835
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN.444099
OH
164W00000X
Licensed Practical Nurse
PN.148857-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068158
—
OH
Enumeration date
07/12/2012
Last updated
01/18/2021
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