Individual
NIKIA FISHBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2670 WILHITE DR STE 10, LEXINGTON, KY 40503-3499
(609) 316-0405
Mailing address
2670 WILHITE DR STE 10, LEXINGTON, KY 40503-3499
(609) 316-0405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014032
KY
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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