Individual provider · NPI-1

Nikita Abernathy

Home Health · Tyler, TX

NPI number1740869767
StatusActive
Last updated in NPPESApr 6, 2021

Details

NPI
1740869767
Entity type
Individual (NPI-1)
Name
Nikita Abernathy
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2021
Certification date
Apr 6, 2021
Last updated
Apr 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Practice location

2051 W Cumberland Rd Apt 105
Tyler, TX 75703-5354

Phone 903-991-8050

Mailing address

2051 W Cumberland Rd Apt 105
Tyler, TX 75703-5354

Phone 903-991-8050

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