Healthcare Provider Details

I. General information

NPI: 1417806399
Provider Name (Legal Business Name): NIKITA COX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 PASEO VERDE PKWY STE 190
HENDERSON NV
89052-2703
US

IV. Provider business mailing address

7212 PIUTE MESA ST
NORTH LAS VEGAS NV
89084-4017
US

V. Phone/Fax

Practice location:
  • Phone: 702-483-5044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number897087
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: