Individual
NIKISHA NICHELLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5012 E MANSLICK RD, LOUISVILLE, KY 40219-5100
(502) 400-3231
Mailing address
5012 E MANSLICK RD, LOUISVILLE, KY 40219-5100
(502) 400-3231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1113089
KY
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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