Healthcare Provider Details

I. General information

NPI: 1992335277
Provider Name (Legal Business Name): NIKE ELIZABETH AKINJERO NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2020
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 W GRANGEVILLE BLVD
HANFORD CA
93230-2861
US

IV. Provider business mailing address

2345 W BEECH AVE UNIT 3994
VISALIA CA
93278-7049
US

V. Phone/Fax

Practice location:
  • Phone: 559-587-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number309550
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNP95019747
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: