Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | ARNP9262040 | FL |
Y | 363LC1500X | Nurse Practitioner - Community Health | ARNP9262040 | FL |
N | 363LG0600X | Nurse Practitioner - Gerontology | ARNP9262040 | FL |
NPI | 1093193542 |
---|---|
Provider Name | Dr. Nakisha Kinlaw |
First Address | Boynton Beach, FL 33435-2647 |
Second Address | Boynton Beach, FL 33435-2647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2015 |
Last Update Date | 15/05/2015 |