Individual provider · Type 1 NPI
Dealice Nikita Young, RN
Community Health Registered Nurse · Tchula, MS
NPI number
1205104387
Active
Practice location
160 Cypress St
Tchula, MS 39169
Mailing address
PO Box 572
Tchula, MS 39169-0572
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 894906 (MS) |
Community Health Registered Nurse: Definition to come...
About NPI 1205104387
Dealice Nikita Young, RN's National Provider Identifier is 1205104387, issued on Dec 5, 2011. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Tchula, MS. The record was last updated on Oct 23, 2017.