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NPI Code Detail

MEDICARE: NIKA STEPHANIE PRIEST-ALLEN M.D.

MEDICARE: NIKA STEPHANIE PRIEST-ALLEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianME127361FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2IS249OTHERFLBLUE CROSS BLUE SHEILD OF FL

General Provider Information

NPI Number : 1043507080
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKA STEPHANIE PRIEST-ALLEN M.D.
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-8575
Country : US
Telephone Number : 864-359-1308
Fax Number : 239-496-3939
Provider Business Practice Location Address
First Line : 6091 S POINTE BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-4899
Country : US
Telephone Number : 239-985-7171
Fax Number : 239-985-7118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 06/03/2026

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Directions to “ NIKA STEPHANIE PRIEST-ALLEN M.D.” Practice Location

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