MEDICARE: MRS. NEKIA FORD-BATTLE LPN

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
1	164W00000X	Licensed Practical Nurse	0002082250	VA

General Provider Information

NPI Number	:	1598385940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NEKIA FORD-BATTLE LPN

Provider Business Mailing Address
First Line	:	104 N PLAINS DR
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23805-9110
Country	:	US
Telephone Number	:	804-919-3769
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 N PLAINS DR
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23805-9110
Country	:	US
Telephone Number	:	804-919-3769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2020
Last Update Date	:	04/25/2020

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Directions to “ MRS. NEKIA FORD-BATTLE LPN” Practice Location

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