Individual provider · Type 1 NPI

Nikitah Tankoh Fonbah

Family Nurse Practitioner · Quincy, FL

NPI number 1679059679 Active

Practice location

23186 Blue Star Hwy
Quincy, FL 32351-5173

Mailing address

3492 Daylily Ln
Tallahassee, FL 32308-5890

Other practice locations

  • 2626 Capital Medical Blvd, Tallahassee, FL 32308-4499 · (850) 325-5000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XARNP9333177 (FL)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1679059679

Nikitah Tankoh Fonbah's National Provider Identifier is 1679059679, issued on Jul 13, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Quincy, FL. The record was last updated on Jul 13, 2018.