Nikisha Nicole Roberts in Brandon - Physician Assistant

Nikisha Nicole Roberts - NPI 1881796035

Nikisha Nicole Roberts is a Physician Assistant in Brandon, Florida. Nikisha Nicole Roberts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nikisha Nicole Roberts is 1881796035. The last update date is 2021-09-01.

Nikisha Nicole Roberts's current location address is 1989 W Lumsden Rd, Brandon, Florida. You can contact this provider via phone number 8136533111 and fax number 8136531384. The mailing address for Nikisha Nicole Roberts is 1989 W Lumsden Rd, Brandon, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Nikisha Nicole Roberts
Address 1989 W Lumsden Rd, Brandon, Florida
Phone Number 8136533111
Fax Number 8136531384
Sole Proprietor N
Credentials MPH PAC

NPI Number Detail

NPI Number 1881796035
Provider Enumeration Date 2006-09-01
Last Updated Date 2021-09-01

Provider Mailing Address Detail

Address 1989 W Lumsden Rd
City Brandon
State Florida (FL)
Post Code 335118821
Phone Number 8136533111
Fax Number 8136531384

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9102619
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101660400 FL --

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FAQs about Nikisha Nicole Roberts

What is the Nikisha Nicole Roberts's 1881796035?

The Nikisha Nicole Roberts's NPI (National Provider Identifier) Number is 1881796035. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Nikisha Nicole Roberts is geographically located?

The Nikisha Nicole Roberts is physically situated at the following location: 1989 W Lumsden Rd, Brandon, FL, 335118821.

What is Nikisha Nicole Roberts's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Nikisha Nicole Roberts is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date was the 1881796035 assigned to Nikisha Nicole Roberts?

The Nikisha Nicole Roberts was issued its 1881796035 on 2006-09-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Nikisha Nicole Roberts most recently updated or refreshed?

The details pertaining to the Nikisha Nicole Roberts, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-09-01.

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