Individual
NISHA BHAKTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1257 HIGHWAY 61 S, HOLLANDALE, MS 38748-3864
(662) 827-2214
(662) 827-2215
Mailing address
5025 E HIGHWAY 82, LAKE VILLAGE, AR 71653-6070
(662) 378-7437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903573
MS
Other
Enumeration date
10/21/2019
Last updated
09/22/2021
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