Healthcare Provider Details

I. General information

NPI: 1760686802
Provider Name (Legal Business Name): RAHSHIDA ATKINS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RAHSHIDA ATKINS APN-C

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 01/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

890 BENNETTS MILLS RD
JACKSON NJ
08527-2736
US

IV. Provider business mailing address

5 BLOSSOM DR SUITE 400
EWING NJ
08638-2003
US

V. Phone/Fax

Practice location:
  • Phone: 732-367-7530
  • Fax:
Mailing address:
  • Phone: 612-659-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00030900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: