Individual
LAKEISHA SHERRAY STARKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
801 WASHINGTON AVE UNIT 21C, PHILADELPHIA, PA 19147-4716
(267) 519-9353
(267) 519-8120
Mailing address
2479 76TH AVE, PHILADELPHIA, PA 19150-1807
(267) 455-5162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN660837
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018578
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035875990001
—
PA
Enumeration date
05/11/2018
Last updated
02/15/2019
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