Individual
MRS. JENISHA NIKITA HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
401 LACLEDE AVE APT 1, MEMPHIS, TN 38126-6025
(901) 679-1271
Mailing address
401 LACLEDE AVE APT 1, MEMPHIS, TN 38126-6025
(901) 679-1271
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802119171
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802119171
—
MS
Enumeration date
11/20/2021
Last updated
11/20/2021
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